VETERAN'S ADMINISTRATION

DECATUR, IL
NPI1043323793
Entity TypeOrganization
Authorized ContactGERALDINE THORNHILL WIRTH
Nurse Practitioner
217-875-2670
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
(Licence: IL  041-212936)
Enumeration Date2006-08-16
Last Update Date2020-08-22
Business Address
VETERAN'S ADMINISTRATION
3035 E MOUND RD
DECATUR, IL 62526-9650
Phone number: 217-875-2670
Mailing Address
VETERAN'S ADMINISTRATION
632 E BODMAN ST
BEMENT, IL 61813-1206
Phone number: 217-620-8891