Organization · Type 2 NPI
Graham Hospital Association
Rural Health Clinic/Center · Elmwood, IL
NPI number
1093288797
Active
Practice location
1024 N. Magnolia St.
Elmwood, IL 61529
Fax (309) 647-8613
Mailing address
180 S Main St
Canton, IL 61520-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1093288797
Graham Hospital Association's National Provider Identifier is 1093288797, issued on Jan 4, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Elmwood, IL. The record was last updated on Jan 4, 2019.