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MERCY HARVARD HOSPITAL INC

Adult Care Home

Harvard, Illinois

Provider NPI: 1124195557

Organization Information:
Organization Name:  MERCY HARVARD HOSPITAL INC


Practice Location:
901 GRANT ST  HARVARD, IL 60033 US
Tel: 815-943-2967  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IL0004911

Other Provider Identifiers:

IssuerNumberStateType
BCBSIL0005632028IL01
IDPH0004911IL01
146014IL06
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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