Healthcare Provider Details

I. General information

NPI: 1235182874
Provider Name (Legal Business Name): SCHUYLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 15TH ST
BEARDSTOWN IL
62618-1701
US

IV. Provider business mailing address

100 W 15TH ST
BEARDSTOWN IL
62618-1701
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 Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. TAMRA S GADBERRY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 217-322-4321