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GREATER PEORIA SPECIALTY HOSPITAL, LLC

Long Term Care Hospital

Peoria, Illinois

Provider NPI: 1770721508

Organization Information:
Organization Name:  GREATER PEORIA SPECIALTY HOSPITAL, LLC


Practice Location:
500 W ROMEO B GARRETT AVE  PEORIA, IL 61605 US
Tel: 309-680-1500  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
IL0005355

Other Provider Identifiers:

IssuerNumberStateType
JCAHO CERTIFICATION484161IL01
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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