Organization · Type 2 NPI

Decatur Memorial Hospital

Community Based Hospice Care Agency · Decatur, IL

NPI number 1720172307 Active

Practice location

2870 N Main St
Decatur, IL 62526-3234

Call (217) 876-6770 Map

Fax (217) 876-6773

Mailing address

2300 N. Edward
Decatur, IL 62526

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	2000354 (IL)

Community Based Hospice Care Agency: Definition to come...

6 other providers at this address

NPI record

NPI: 1720172307
Entity type: Organization (Type 2)
Issued: Oct 3, 2006
Last updated: May 13, 2019
Status: Active

Other names

<unavail>
DMH Home Health Services - Hospice · doing business as
DMH Home Health Services - Hospice · doing business as

Authorized official

Mr. Debra L Bragg
VP of Finance
(217) 876-2107

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720172307

Decatur Memorial Hospital's National Provider Identifier is 1720172307, issued on Oct 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Decatur, IL. The record was last updated on May 13, 2019.