Mendota Community Hospital in Mendota - Critical Access

Mendota Community Hospital - NPI 1609803113

Mendota Community Hospital is a Critical Access in Mendota, Illinois. Mendota Community Hospital practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Mendota Community Hospital is 1609803113. The last update date is 2022-02-14.

Mendota Community Hospital's current location address is 1401 East 12th Street, Mendota, Illinois. You can contact this provider via phone number 8155397461 and fax number 8155385516. The mailing address for Mendota Community Hospital is 1401 East 12th Street, Mendota, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mendota Community Hospital
Address 1401 East 12th Street, Mendota, Illinois
Phone Number 8155397461
Fax Number 8155385516
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT,
Authorized Official Name Mcgrew L Diane
Telephone Number 3096552850

NPI Number Detail

NPI Number 1609803113
Provider Enumeration Date 2006-06-28
Last Updated Date 2022-02-14

Provider Mailing Address Detail

Address 1401 East 12th Street
City Mendota
State Illinois (IL)
Post Code 6134292160
Phone Number 8155397461
Fax Number 8155385516

Provider's Primary Taxonomy Detail

Speciality Critical Access
Taxonomy 282Nc0060X
Licence No 1537
Definition:
Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3630 IL HEALTH ALLIANCE
217 IL BC/BS
A6134201 IL JOHN DEERE HEALTH

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FAQs about Mendota Community Hospital

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

The Mendota Community Hospital has been issued the NPI (National Provider Identifier) 1609803113. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mendota Community Hospital?

The Mendota Community Hospital is physically situated at 1401 East 12Th Street, in the city of Mendota, state of IL, with the postal code 6134292160.

What is Mendota Community Hospital's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mendota Community Hospital's specialized field of practice is Critical Access, and the corresponding taxonomy code that categorizes this area of specialization is 282Nc0060X.

When was the Mendota Community Hospital's 1609803113 issued?

The Mendota Community Hospital's 1609803113 was issued on 2006-06-28.

When was the Mendota Community Hospital's information last updated?

The Mendota Community Hospital's information was last updated on 2022-02-14.

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