Organization
ST. MARGARET'S HOSPITAL
Active
Other names
St. Margaret's Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A. MUNTZ (PRESIDENT)
(815) 664-1633
Entity
Organization
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5311
(815) 664-1188
Mailing address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5311
(815) 664-1188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610126
BLUE CROSS PROVIDER #
IL
Enumeration date
02/21/2007
Last updated
11/01/2016
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