Organization
MENDOTA COMMUNITY HOSPITAL
Active
Other names
Anesthesia Services of MCH
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C SEHRING (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
1401 EAST 12TH STREET, MENDOTA, IL 61342-9216
(815) 539-7461
(815) 538-5516
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI2549
RAILROAD MEDICARE
—
Enumeration date
07/12/2006
Last updated
03/18/2024
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