| NPI | 1750308631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SPOUR President 618-542-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IL 0000414) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-12-28 |