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NPI Code Detail

MEDICARE: MARION HOSPITAL CORPORATION

MEDICARE: MARION HOSPITAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital0005288IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10068098OTHERUMWA
2030050300OTHERBLACK LUNG
3003558OTHERHEALTH ALLIANCE
40140184OTHERACCESS MED PLUS
50298OTHERBCBS
6107233OTHERHEALTHLINK
74908OTHERGROUP HEALTH PLAN

General Provider Information

NPI Number : 1073584058
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARION HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 60545
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63160-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 W DEYOUNG ST
Second Line :
City : MARION
State : IL
Zip : 62959-5884
Country : US
Telephone Number : 618-998-7000
Fax Number :
Authorized Official
Title or Position : SVP FINANCE OPERATIONS
Name : RANDY MICHAEL COOPER
Credential :
Telephone Number : 615-221-3840
Provider Enumeration Date : 01/30/2006
Last Update Date : 09/03/2020

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1750352746 — MARION HOSPITAL CORPORATION
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Directions to “MARION HOSPITAL CORPORATION ” Practice Location

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