Healthcare Provider Details

I. General information

NPI: 1578885182
Provider Name (Legal Business Name): HILLSBORO AREA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W SAINT JOHN ST STE 2
LITCHFIELD IL
62056-2169
US

IV. Provider business mailing address

1210 E TREMONT ST
HILLSBORO IL
62049-1912
US

V. Phone/Fax

Practice location:
  • Phone: 217-324-6601
  • Fax: 217-532-4166
Mailing address:
  • Phone: 217-532-6111
  • Fax: 217-532-4166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. ANGELA NICOLE LEGENDRE
Title or Position: OCCUPATIONAL THERAPIST
Credential: MS, OTR/L
Phone: 217-532-6111