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General NPI Number Information
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NPI Number | 1649795659
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Entity Type | Organization
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Legal Business Name | HARRISBURG MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3106 OUTER DR
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City | MARION
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State | IL
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Zip | 62959-5270
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Country | US
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Telephone | 618-997-4332
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Fax | 618-969-8628
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Provider Business Mailing Address
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Address Line | PO BOX 3988
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City | CARBONDALE
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State | IL
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Zip | 62902-3988
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Country | US
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Telephone | 618-457-5200
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Fax |
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Authorized Official
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Title or Position | SENIOR VP CHIEF FINANCIAL OFFICER
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Name | WARREN P LADNER
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Credential |
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Telephone | 618-457-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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