Healthcare Provider Details

I. General information

NPI: 1538111638
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: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8460 ST LUKES DR
BEARDSTOWN IL
62618
US

IV. Provider business mailing address

8460 SAINT LUKES DR
BEARDSTOWN IL
62618-8385
US

V. Phone/Fax

Practice location:
  • Phone: 217-323-2707
  • Fax: 217-323-2920
Mailing address:
  • Phone: 217-323-2707
  • Fax: 217-323-2920

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: MR. ALAN PALO
Title or Position: CHIEF FINANCIAL OFFICIER
Credential: CFO
Phone: 217-322-4321