Healthcare Provider Details
I. General information
NPI: 1194025882
Provider Name (Legal Business Name): SCHUYLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2010
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
233 S CONGRESS ST
RUSHVILLE IL
62681-1409
US
IV. Provider business mailing address
233 S CONGRESS ST
RUSHVILLE IL
62681-1409
US
V. Phone/Fax
- Phone: 217-322-3345
- Fax:
- Phone: 217-322-3345
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALAN
PALO
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CFO
Phone: 217-322-4321