Healthcare Provider Details

I. General information

NPI: 1164512364
Provider Name (Legal Business Name): ST MARGARET'S HEALTH - SPRING VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/07/2023
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E 1ST ST
SPRING VALLEY IL
61362-1512
US

IV. Provider business mailing address

600 E 1ST ST
SPRING VALLEY IL
61362-1512
US

V. Phone/Fax

Practice location:
  • Phone: 815-664-1463
  • Fax:
Mailing address:
  • Phone: 815-664-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number093013444
License Number StateIL

VIII. Authorized Official

Name: MR. MICHAEL T ARKINS
Title or Position: DIRECTOR OF PHARMACY
Credential: R.PH.
Phone: 815-664-1463