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General NPI Number Information
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NPI Number | 1649830472
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Entity Type | Organization
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Legal Business Name | SALEM TOWNSHIP HOSPITAL
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1321 W WHITTAKER ST
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City | SALEM
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State | IL
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Zip | 62881-2013
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Country | US
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Telephone | 618-548-6644
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Fax | 844-659-5619
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Provider Business Mailing Address
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Address Line | 1201 RICKER RD
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City | SALEM
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State | IL
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Zip | 62881-4263
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Country | US
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Telephone | 618-548-3194
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Fax | 618-548-0167
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Authorized Official
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Title or Position | PRESIDENT/CEO/CFO
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Name | MR. JAMES TIMPE
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Credential |
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Telephone | 618-548-3194
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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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