Mendota Community Hospital in Mendota - Home Health

Mendota Community Hospital - NPI 1689651929

Mendota Community Hospital is a Home Health in Mendota, Illinois. Mendota Community Hospital practices all healthcare services and medical treatments related to Home Health. The NPI Number for Mendota Community Hospital is 1689651929. The last update date is 2013-08-13.

Mendota Community Hospital's current location address is 909 Main St, Mendota, Illinois. You can contact this provider via phone number 8155391421 and fax number 8155395507. The mailing address for Mendota Community Hospital is 909 Main St, Mendota, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mendota Community Hospital
Address 909 Main St, Mendota, Illinois
Phone Number 8155391421
Fax Number 8155395507
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF NURS
Authorized Official Name Bomstad Heather
Telephone Number 8155397461

NPI Number Detail

NPI Number 1689651929
Provider Enumeration Date 2005-12-28
Last Updated Date 2013-08-13

Provider Mailing Address Detail

Address 909 Main St
City Mendota
State Illinois (IL)
Post Code 613421654
Phone Number 8155391421
Fax Number 8155395507

Provider's Primary Taxonomy Detail

Speciality Home Health
Taxonomy 251E00000X
Licence No 1007491
Definition:
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9980 BLUE CROSS BLUE SHIELD

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FAQs about Mendota Community Hospital

What is the unique identifier code issued to Mendota Community Hospital by the Centers for Medicare & Medicaid Services?

The Mendota Community Hospital has been assigned the NPI (National Provider Identifier) 1689651929. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mendota Community Hospital is located?

The Mendota Community Hospital is situated at the following address: 909 Main St, Mendota, IL, 613421654.

What is Mendota Community Hospital's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mendota Community Hospital is Home Health, and the corresponding taxonomy classification code for this specialized field is 251E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689651929 to Mendota Community Hospital?

The Mendota Community Hospital received its 1689651929 assignment from the Centers for Medicare & Medicaid Services on 2005-12-28.

When was the information regarding Mendota Community Hospital most recently updated?

The details pertaining to the Mendota Community Hospital, including its address, specialty, and other relevant information, were last refreshed on 2013-08-13.

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