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NPI Code Detail

MEDICARE: CGH MEDICAL CENTER

MEDICARE: CGH MEDICAL CENTER
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
1273R00000XPsychiatric Hospital Unit
2275N00000XMedicare Defined Swing Bed Hospital Unit0000364IL
3282N00000XGeneral Acute Care Hospital0000364IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CE7487OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L011619OTHERTRICARE
3IL0101OTHERILJOHN DEERE

General Provider Information

NPI Number : 1902854623
Entity Type Code : Organization
Provider Name (Legal Business Name) : CGH MEDICAL CENTER
Provider Business Mailing Address
First Line : 100 E LE FEVRE RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1278
Country : US
Telephone Number : 815-625-0400
Fax Number : 815-625-2747
Provider Business Practice Location Address
First Line : 100 E LE FEVRE RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1278
Country : US
Telephone Number : 815-625-0400
Fax Number : 815-625-2747
Authorized Official
Title or Position : CEO
Name : MS. PAUL A STEINKE
Credential :
Telephone Number : 815-625-0400
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/13/2024

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Directions to “CGH MEDICAL CENTER ” Practice Location

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