Mendota Community Hospital
Organization Active NPI Durable Medical Equipment & Medical Supplies · Mendota, IL
NPI 1376673087 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1376673087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 0001537 (IL)
- Legal business name
- MENDOTA COMMUNITY HOSPITAL
- Practice address
- 1401 East 12TH Street
Mendota, IL 61342-9216 - Phone
- (815) 539-7461
- Fax
- (815) 539-1461
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert C. Sehring
- Title
- Ceo
- Phone
- (309) 655-2850
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0001537 | IL | Yes |
| Prosthetic/Orthotic Supplier | 335E00000X | 0001537 | IL |
Addresses
Primary practice location
1401 East 12TH Street
Mendota, IL 61342-9216
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other providers in Mendota, IL
- Judith A. McConville
- Mendota C C School Dist 289
- Mendota Community Hospital
- Mendota Community Hospital
- Mendota Community Hospital
- Mendota Community Hospital
- Mendota Community Hospital
- Mendota Community Hospital
- Mendota Community Hospital
- Mendota Community Hospital
All providers in Mendota, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.