Proctor Community Hospital

NPI #1487624318 in Peoria, Illinois

Provider Information

NPI Number: 1487624318
Entity Type: Organization
Organization Name: Proctor Community Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: PROCTOR HOSPITAL
Primary Specialty: Home Health
Enumeration Date: Jan 24, 2006
Last Updated: Apr 24, 2019

Practice Location

Address: 5409 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-5016
Phone: (309) 691-1000

Authorized Official

Name: MR. STEPHEN M. CIRONE
Title: REGIONAL MGR REIMB/REV RECOGNITION
Phone: (309) 672-4813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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