INGALLS MEMORIAL HOSPITAL (NPI# 1043307580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043307580 |
| Entity Type | Organization |
| Organization Name | INGALLS MEMORIAL HOSPITAL |
| Other Organization Name | THE INGALLS MEMORIAL HOSPITAL |
| Practice Address |
One Ingalls Drive Harvey IL 60426-3558 |
| Mailing Address |
1 Ingalls Dr Harvey IL 60426-3558 |
| Practice Telephone | 7089156107 |
| Practice Fax Number | 7089152099 |
| Mailing Telephone | 7089156107 |
| Mailing Fax Number | 7089152099 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | SUSAN BJORK (DIRECTOR, IT APPLICATIONS) |
| Authorized Official Telephone | 7089156984 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE INGALLS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0001099 | IL | Hospital Units |
| Other Name | Type Code |
|---|---|
| The Ingalls Memorial Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198014 | Ingalls Memorial Hospital | Clinic/Center | 6701 159th St Ste B105, Tinley Park, IL 60477-1758 | 2020-06-11 |
| 1245776988 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-01-18 |
| 1801132105 | Ingalls Memorial Hospital | Home Health | 15620 Wood St, Harvey, IL 60426-4171 | 2012-12-14 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1871841841 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-24 |
| 1548518509 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1174871131 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1720336787 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1023105566 | Ingalls Memorial Hospital | Rehabilitation Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598756686 | Ingalls Memorial Hospital | Psychiatric Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2005-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INGALLS MEMORIAL HOSPITAL, THE | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Street Address |
ONE INGALLS DRIVE |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434579 | Andrew D Bruggeman | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| 1649799404 | Carmalita Lewis-buchanan | Nurse Practitioner | One Ingalls Drive, Harvey, IL 60426-3558 | 2017-09-13 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1598775108 | Suresh P Agarwal | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-08-08 |
| 1982628475 | Bryan K Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One Ingalls Drive, West 536, Harvey, IL 60426 | 2006-07-27 |
| 1326083395 | Ingalls Home Hospice | Hospice Care, Community Based | One Ingalls Drive, Wyman Gordon Pavilion, Harvey, IL 60426 | 2006-06-16 |
| 1417998865 | Ingalls Home Care | Home Health | One Ingalls Drive, Wyman Gordon Pavilion, Harvey, IL 60426 | 2006-06-09 |
| 1033184031 | Joseph B Costa | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-22 |
| 1982676987 | John C Heller | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932296472 | The Ingalls Memorial Hospital | Psychiatric Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598756686 | Ingalls Memorial Hospital | Psychiatric Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2005-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1740570316 | Robert Young Center | Psychiatric Unit | 4200 6th Ave, Rock Island, IL 61201-2109 | 2011-04-15 |
| 1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
| 1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
| 1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
| 1952425076 | Elgin Mental Health Center William White 4585 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-16 |
| 1932251766 | Families and Adolescents In Recovery, Inc. | Psychiatric Unit | 2010 E Algonquin Rd, Suite # 203-207, Schaumburg, IL 60173-4185 | 2007-01-18 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.