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Mendota Community Hospital
Home Health Agency in Mendota, Illinois
NPI 1689651929

Mendota Community Hospital is a Home Health Agency based in Peoria, IL. Mendota Community Hospital practices in Mendota, IL. The NPI Number for Mendota Community Hospital is 1689651929 and holds a License No. 1007491 (Illinois).

The current practice location address for Mendota Community Hospital is 909 Main St, Mendota, IL and can be reached out via phone at 815-539-1421 and via fax at 815-539-5507.

Location: 909 Main St, Mendota, IL, 61602-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689651929
Provider Name
Mendota Community Hospital
Credential
Provider Entity Type
Organization
Address
909 Main St, Mendota, IL, 61602-1308
Phone Number
815-539-1421
Fax Number
815-539-5507
Provider Enumeration Date
12/28/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9980 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
909 Main St
City
Mendota
State
Illinois
Zip
61342-1654
Phone Number
815-539-1421
Fax Number
815-539-5507
person
Provider Business Mailing Address Details
Address
909 Main St
City
Mendota
State
Illinois
Zip
61342-1654
Phone Number
815-539-1421
Fax Number
815-539-5507
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1007491 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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