Organization
DECATUR MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M OPPENLANDER I (SENIOR VP AND CFO)
(217) 876-2107
Entity
Organization
Contact information
Practice address
2300 N EDWARD, DECATUR, IL 62526
(217) 876-2281
(217) 876-2261
Mailing address
2300 N EDWARD ST, DECATUR, IL 62549
(217) 876-8121
(217) 876-2261
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907
BLUE CROSS
IL
Enumeration date
10/06/2006
Last updated
04/26/2010
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