Healthcare Provider Details

I. General information

NPI: 1134370356
Provider Name (Legal Business Name): SCHUYLER COUNTY HOSPITAL DISTRICT HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 WASHINGTON ST
BEARDSTOWN IL
62618-1558
US

IV. Provider business mailing address

507 WASHINGTON ST
BEARDSTOWN IL
62618-1558
US

V. Phone/Fax

Practice location:
  • Phone: 217-323-2245
  • Fax: 217-323-1276
Mailing address:
  • Phone: 217-323-2245
  • Fax: 217-323-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. DAVID SNIFF
Title or Position: CHIEF EXECUTIVE OFFICIER
Credential: CEO
Phone: 217-322-4321