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NPI Code Detail

MEDICARE: HAMILTON MEMORIAL HOSPITAL DISTRICT

MEDICARE: HAMILTON MEMORIAL HOSPITAL DISTRICT
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
1282NC0060XCritical Access Hospital0000885IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111370337OTHERILBLUE CROSS OF IL

General Provider Information

NPI Number : 1447257258
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMILTON MEMORIAL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 611 S MARSHALL AVE
Second Line : PO BOX 429
City : MC LEANSBORO
State : IL
Zip : 62859-1213
Country : US
Telephone Number : 618-643-2361
Fax Number : 618-643-2502
Provider Business Practice Location Address
First Line : 611 S MARSHALL AVE
Second Line :
City : MC LEANSBORO
State : IL
Zip : 62859-1213
Country : US
Telephone Number : 618-643-2361
Fax Number : 618-643-2502
Authorized Official
Title or Position : CFO
Name : MR. JUSTIN EPPERSON
Credential :
Telephone Number : 618-643-2361
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/01/2025

Similar Medicare Providers

1366446395 — ASUNCION R. COPE M.D.
Practice Location Address:
611 S MARSHALL AVE
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1588659320 — DR. KADHIRESAN MURUGAPPAN MD SC
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1528049889 — ROBERT BRAD RINGHOFER M.D.
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Practice Fax: 618-643-2502
1104860238 — MRS. TERESA KAY MCFARLAND-MILLER MSW, LCSW
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1194839126 — JEANIE CHAMNESS PA-C
Practice Location Address:
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1124164629 — MR. NORMAN EUGENE HOWE CRNA
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Directions to “HAMILTON MEMORIAL HOSPITAL DISTRICT ” Practice Location

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