National Provider Identifier Database

DECATUR MEMORIAL HOSPITAL
Hospice Care, Community Based


Contact Information

DECATUR MEMORIAL HOSPITAL
2870 N MAIN ST
DECATUR, IL62526-3234
Phone: 217-876-6770
Fax: 217-876-6773
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for DECATUR MEMORIAL HOSPITAL

NPI Number 1720172307
Legal business name
LBN
DECATUR MEMORIAL HOSPITAL
Authorized official DEBRA BRAGG - (VP OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 10/03/2006
Last updated 05/13/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 2000354

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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