MEDICARE: HAMMOND HENRY HOSPITAL

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
1	282NC0060X	Critical Access Hospital	0000893	IL

General Provider Information

NPI Number	:	1205127529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMMOND HENRY HOSPITAL

Provider Business Mailing Address
First Line	:	600 N COLLEGE AVE
Second Line	:
City	:	GENESEO
State	:	IL
Zip	:	61254-1091
Country	:	US
Telephone Number	:	309-944-6431
Fax Number	:	563-456-6788

Provider Business Practice Location Address
First Line	:	1604 CLEVELAND RD
Second Line	:
City	:	COLONA
State	:	IL
Zip	:	61241-8970
Country	:	US
Telephone Number	:	309-949-2999
Fax Number	:	309-520-2566

Authorized Official
Title or Position	:	CEO
Name	:	MR. BRADLEY SOLBERG
Credential	:
Telephone Number	:	309-944-6431

Provider Enumeration Date	:	04/20/2011
Last Update Date	:	02/18/2026

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