MEDICARE: ASTA CARE CENTER OF FORD COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0045823	IL

General Provider Information

NPI Number	:	1861499659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTA CARE CENTER OF FORD COUNTY

Provider Business Mailing Address
First Line	:	1240 N MARKET ST
Second Line	:
City	:	PAXTON
State	:	IL
Zip	:	60957-4158
Country	:	US
Telephone Number	:	217-379-4896
Fax Number	:	217-379-2147

Provider Business Practice Location Address
First Line	:	1240 N MARKET ST
Second Line	:
City	:	PAXTON
State	:	IL
Zip	:	60957-4158
Country	:	US
Telephone Number	:	217-379-4896
Fax Number	:	217-379-2147

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	MR. CRAIG FRANK
Credential	:
Telephone Number	:	217-379-4896

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/22/2020

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Directions to “ASTA CARE CENTER OF FORD COUNTY ” Practice Location

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