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General NPI Number Information
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NPI Number | 1154117521
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Entity Type | Organization
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Legal Business Name | GRAHAM HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 210 W WALNUT ST
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City | CANTON
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State | IL
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Zip | 61520-2444
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Country | US
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Telephone | 309-647-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 210 W WALNUT ST
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City | CANTON
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State | IL
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Zip | 61520-2444
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Country | US
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Telephone | 309-647-5240
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE & CFO
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Name | JULIE REEDER
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Credential |
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Telephone | 309-647-5240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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