Iroquois Memorial Hospital And Resident Home
Critical Access
200 E Fairman Ave, Watseka
Illinois, 60970-1644
815-432-5841 815-432-7821
Iroquois Memorial Hospital And Resident Home is a Critical Access in Watseka, Illinois. It is located at 200 E Fairman Ave, Watseka and it's customer support contact number is 815-432-5841. The authorized person of Iroquois Memorial Hospital And Resident Home is Mrs. Michelle Fox who is Director Medical Staff & It Svcs of the pharmacy and her contact number is 815-432-7775. Iroquois Memorial Hospital And Resident Home accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Iroquois Memorial Hospital And Resident Home is definition to come.
Pharmacy Details:
Iroquois Memorial Hospital And Resident Home type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Iroquois Memorial Hospital And Resident Home |
| Type: | Critical Access |
| Location: | 200 E Fairman Ave, Watseka,
Illinois, 60970-1644 |
| Phone: | 815-432-5841 |
| Fax: | 815-432-7821 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Michelle Fox |
| Position: | Director Medical Staff & It Svcs |
| Contact Number: | 815-432-7775 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1629003470 |
| NPI Enumeration Date: | 11 Jul, 2006 |
| NPI Last Update On: | 25 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Iroquois Memorial Hospital And Resident Home are as mentioned below.
| Specialization | License Number | State | Status | |
| Critical Access | | | Primary | |
| Medicare Defined Swing Bed Unit | | | Secondary | |
| Rural | 0001107 | Illinois | Secondary | |
| Clinic Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 150 | Other | Illinois | Blue Cross |
| 200262610A | Medicaid | Indiana | |
| 004126 | Other | Illinois | Health Alliance |
| 100037080A | Medicaid | Indiana | |
| N198101 | Medicaid | Illinois | |
| 88916 | Medicaid | Illinois | |
| 003815082 | Other | Illinois | Blue Shield |
Medicare Enrollment:
Iroquois Memorial Hospital And Resident Home is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4385551258 | O20040517000306 | Iroquois Memorial Hospital And Resident Home | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 4385551258 | O20050110000005 | Iroquois Memorial Hospital And Resident Home | PART A PROVIDER - HOSPITAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 200 E Fairman Ave,
Watseka, Illinois |
| Zip: | 60970-1644 |
| Phone Number: | 815-432-5841 |
| Fax Number: | 815-432-7821 |
Patients can reach Iroquois Memorial Hospital And Resident Home at
200 E Fairman Ave, Watseka, Illinois or can
call on customer care at 815-432-5841.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.