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NPI Code Detail

MEDICARE: SPRINGFIELD HOSPITAL, INC

MEDICARE: SPRINGFIELD HOSPITAL, INC
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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1285803007
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGFIELD HOSPITAL, INC
Provider Business Mailing Address
First Line : 5230 S 6TH STREET RD
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-5128
Country : US
Telephone Number : 217-585-1180
Fax Number :
Provider Business Practice Location Address
First Line : 5230 S 6TH STREET RD
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-5128
Country : US
Telephone Number : 217-585-1180
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. SCOTT VINIARD
Credential : LCPC
Telephone Number : 217-585-1180
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/26/2008

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Directions to “SPRINGFIELD HOSPITAL, INC ” Practice Location

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