| NPI | 1346362589 |
|---|---|
| Former Legal Business Name | COAL VALLEY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RAYMOND A BURGE Owner 309-787-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036113072) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist (Licence: IL 070014182) | |
| 261QH0100X Clinic/Center, Health Services | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041171677) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-09-20 |