Organization · Type 2 NPI

Crawford Hospital District

Rural Health Clinic/Center · Oblong, IL

NPI number 1790769073 Active

Practice location

1366 East 1050th Ave
Oblong, IL 62449-1426

Call (618) 592-3119 Map

Fax (618) 546-2648

Mailing address

1000 N Allen St
Robinson, IL 62454-1114

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1790769073
Entity type: Organization (Type 2)
Issued: Dec 1, 2005
Last updated: Jun 24, 2014
Status: Active
Subpart: Yes of Crawford Hospital District

Other names

<unavail>
Crawford Hospital District dba CMH Rural Health Oblong · doing business as

Authorized official

Mr. Chris Bautista
Practice Management Officer
(618) 546-2460

Verify this record

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 1790769073

Crawford Hospital District's National Provider Identifier is 1790769073, issued on Dec 1, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Oblong, IL. The record was last updated on Jun 24, 2014.