Iroquois Memorial Hospital
Organization Active NPI Rural Health Clinic/Center · Sheldon, IL
NPI 1780604371 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1780604371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- IROQUOIS MEMORIAL HOSPITAL
- Practice address
- 160 E Grove St
Sheldon, IL 60966 - Phone
- (815) 429-3314
- Fax
- (815) 429-3490
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen O Leurck
- Title
- Ceo
- Phone
- (815) 432-7736
National Provider Directory
Locations
160 E Grove St
Sheldon, IL 60966
Phone (815) 429-3314
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
160 E Grove St
Sheldon, IL 60966
Mailing address
160 E Grove
Sheldon, IL 60966
Phone (815) 429-3314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003832005 | Other | IL | BLUS CROSS BLUE SHIELD IL |
Other names
- IMH Sheldon Clinic
Other providers in Sheldon, IL
- Association for the Betterment of Retarded Adults
- Jodie M Havens
- Iroquois Mental Health Center
- Iroquois Mental Health Center
- Peggy McRoberts
- Petersen Health Enterprises LLC
- Angela L Pitsenberger
All providers in Sheldon, IL · Rural Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.