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General NPI Number Information
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NPI Number | 1366480873
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Entity Type | Organization
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Legal Business Name | HOOPESTON COMMUNITY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 701 E ORANGE ST
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City | HOOPESTON
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State | IL
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Zip | 60942-1801
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Country | US
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Telephone | 217-283-5531
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Fax | 217-283-7981
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Provider Business Mailing Address
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Address Line | 701 E ORANGE ST
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City | HOOPESTON
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State | IL
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Zip | 60942-1801
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Country | US
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Telephone | 217-383-6792
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Fax | 217-383-4752
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Authorized Official
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Title or Position | CEO
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Name | HARRY BROCKUS
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Credential |
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Telephone | 217-283-8540
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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 | 0004200
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License Number State | IL
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