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Mendota Community Hospital
Prosthetic/Orthotic Supplier in Mendota, Illinois
NPI 1578598751

Mendota Community Hospital is a Prosthetic/Orthotic Supplier based in Peoria, IL. Mendota Community Hospital practices in Mendota, IL. The NPI Number for Mendota Community Hospital is 1578598751 and holds a License No. 0001537 (Illinois).

The current practice location address for Mendota Community Hospital is 1401 East 12Th Street, Mendota, IL and can be reached out via phone at 815-539-7461 and via fax at 815-538-5516. You can also correspond with Mendota Community Hospital through the mailing address at 124 SW ADAMS ST, PEORIA, IL - 61602-1308 (mailing address contact number: 309-655-2850).

Location: 1401 East 12Th Street, Mendota, IL, 61602-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578598751
Provider Name
Mendota Community Hospital
Credential
Provider Entity Type
Organization
Address
1401 East 12Th Street, Mendota, IL, 61602-1308
Phone Number
815-539-7461
Fax Number
815-538-5516
Provider Enumeration Date
07/12/2006
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1401 East 12Th Street
City
Mendota
State
Illinois
Zip
61342-9216
Phone Number
815-539-7461
Fax Number
815-538-5516
person
Provider Business Mailing Address Details
Address
1401 East 12Th Street
City
Mendota
State
Illinois
Zip
61342-9216
Phone Number
815-539-7461
Fax Number
815-538-5516
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0001537 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
0001537 (Illinois)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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