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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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207V00000XObstetrics & Gynecology Physician
4208000000XPediatrics Physician
52085R0202XDiagnostic Radiology Physician
6367500000XCertified Registered Nurse Anesthetist
7207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110022432OTHERILBCBS

General Provider Information

NPI Number : 1356327282
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARION HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : 1573 MALLORY LN STE 100
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-2895
Country : US
Telephone Number : 152-221-1400
Fax Number : 615-465-2884
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 : SR. DIRECTOR PHYSICIAN REV CYCLE
Name : LAURA J FEY
Credential :
Telephone Number : 615-221-3641
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/07/2023

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Directions to “MARION HOSPITAL CORPORATION ” Practice Location

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