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Contact Information

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
200 E FAIRMAN AVE
WATSEKA, IL60970-1644
 Phone: 815-432-0185
 Fax: 815-432-6199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

NPI # 1841295763
LBN Legal business name IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Authorized official MICHAEL TILSTRA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2005
Last updated 05/29/2026 - Less than a week ago
Identifiers
IL License # 2002400
IL Other 50344 BCBS PROVIDER #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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