Basic Information
| Provider Information | |||||||||
| NPI: | 1346207669 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ROCHELLE COMMUNITY HOSPITAL ASSOCIATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 N 2ND ST | ||||||||
| Address2: | |||||||||
| City: | ROCHELLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610681764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8155622181 | ||||||||
| FaxNumber: | 8155625474 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 N 2ND ST | ||||||||
| Address2: | |||||||||
| City: | ROCHELLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610681764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8155622181 | ||||||||
| FaxNumber: | 8155625474 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2006 | ||||||||
| LastUpdateDate: | 04/09/2014 | ||||||||
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| AuthorizedOfficialLastName: | DICKEY | ||||||||
| AuthorizedOfficialFirstName: | DORIS | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS SERVICES MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8155622181 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | 002022 | IL | Y | Hospitals | General Acute Care Hospital | Critical Access |
No ID Information.