Proctor Community Hospital

NPI #1821068404 in Peoria, Illinois

Provider Information

NPI Number
1821068404
Entity Type
Organization
Organization Name
Proctor Community Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
PROCTOR COMMUNITY HOSPITAL
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 25, 2006
Last Updated
Jan 23, 2015

Practice Location

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

Authorized Official

Name
MS. DEBORAH R. SIMON
Title
PRESIDENT/CEO
Phone
(309) 672-5928

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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