MASON HOSPITAL DISTRICT (NPI# 1063478782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063478782 |
| Entity Type | Organization |
| Organization Name | MASON HOSPITAL DISTRICT |
| Other Organization Name | HAVANA MEDICAL ASSOCIATES |
| Practice Address |
615 N Promenade St Havana IL 62644-1243 |
| Mailing Address |
615 N Promenade St P O Box 530 Havana IL 62644-1015 |
| Practice Telephone | 3095436600 |
| Practice Fax Number | 3095432089 |
| Mailing Telephone | 3095436600 |
| Mailing Fax Number | 3095432089 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | MRS. MARY L LAYTON (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Telephone | 3095438542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Havana Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265548010 | Mason Hospital District | Home Health | 741 E Laurel Ave, Havana, IL 62644-1551 | 2006-08-22 |
| 1932166931 | Mason Hospital District | Clinic/Center | 122 E Elm St, Mason City, IL 62664-1410 | 2006-04-26 |
| 1780128512 | Mason Hospital District | Clinic/Center | 1301 S East Ave, Manito, IL 61546 | 2016-12-13 |
| 1902340748 | Mason Hospital District | Family Medicine | 1301 S East Ave, Manito, IL 61546 | 2016-12-13 |
| 1689823866 | Mason Hospital District | Ambulance | 615 N Promenade St, Havana, IL 62644-1243 | 2008-09-12 |
| 1710181797 | Mason Hospital District | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1243 | 2007-06-13 |
| 1902849649 | Mason Hospital District | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1015 | 2006-06-13 |
| Street Address |
615 N PROMENADE ST |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912418799 | Chase Holtman | Nurse Practitioner | 615 N Promenade St, Havana, IL 62644-1243 | 2017-10-19 |
| 1235674946 | Sarah Knake | Registered Nurse | 615 N Promenade St, Havana, IL 62644-1243 | 2017-01-04 |
| 1821472044 | Kathryn Fry | Nurse Practitioner | 615 N Promenade St, Havana, IL 62644-1243 | 2015-07-17 |
| 1790172583 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2015-04-20 |
| 1033524350 | Kayla R Miller | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1243 | 2014-06-25 |
| 1760811434 | Gail Behrends | Dietitian, Registered | 615 N Promenade St, Havana, IL 62644-1243 | 2013-11-04 |
| 1306180203 | Kristi A White | Occupational Therapist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-11-15 |
| 1528312626 | Mason District Hospital | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1243 | 2012-10-29 |
| 1467702985 | Megan Wilson | Specialist/Technologist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-09-12 |
| 1841549532 | Tracey Mae Canete | Speech-Language Pathologist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1639655616 | Home Dialysis Therapies, Inc | Clinic/Center | 216 W Main St, Havana, IL 62644-1138 | 2018-07-12 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| 1831469998 | Bleem Family Chiropractic Inc | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2012-01-06 |
| 1366751331 | Robert Frank Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2010-09-24 |
| 1265663694 | Pam Herrick Counseling, S.c. | Counselor | 314 W Main St, Suite A, Havana, IL 62644-1140 | 2009-08-03 |
| Find all providers in zip 62644 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MASON HOSPITAL DISTRICT.
| 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.