Organization
MIDWEST MEDICAL CENTER
Active
Other names
Galena Stauss Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY L BAUER (COO/CFO)
(815) 776-7277
Entity
Organization
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, GALENA, IL 61036-1635
(815) 776-7274
Mailing address
ONE MEDICAL CENTER DRIVE, GALENA, IL 61036-1635
(815) 777-2560
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0005389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-8511
MEDICARE ID FOR RURAL HEALTH CLINIC FROM DEPARTMENT OF HEALTH AND HUMAN SERVICE
IL
Enumeration date
09/20/2006
Last updated
04/15/2011
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