Organization
KATHERINE SHAW BETHEA HOSPITAL
Active
Parent organization
KATHERINE SHAW BETHEA HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHERINE SHAW BETHEA HOSPITAL
Authorized official
ANTHONY EVERS (CHIEF FINANCIAL OFFICER)
(815) 285-5521
Entity
Organization
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5521
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5521
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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