Organization
LAWRENCE COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANA STRANGE (CFO)
(618) 943-7202
Entity
Organization
Contact information
Practice address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1899
(618) 943-1000
(618) 943-7223
Mailing address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1899
(618) 943-1000
(618) 943-7223
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0001255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005219
HEALTH ALLIANCE
IL
01
—
0212
BLUE CROSS BLUE SHILED
IL
05
—
100069690A
—
IN
01
—
108986
HEALTHLINK
IL
Enumeration date
05/09/2006
Last updated
01/16/2024
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