COMMUNITY HOSPITAL OF OTTAWA (NPI# 1114052800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114052800 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL OF OTTAWA |
| Practice Address |
1100 E Norris Dr Ottawa IL 61350-1604 |
| Practice Telephone | 8154333100 |
| Practice Fax Number | 8154315520 |
| Mailing Telephone | 8154333100 |
| Mailing Fax Number | 8154315520 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT A CHAFFIN (CEO) |
| Authorized Official Telephone | 8154315456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0002071 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215062997 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1649305335 | Community Hospital of Ottawa | Psychiatric Unit | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1558496240 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| Street Address |
1100 E NORRIS DR |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597112 | Rodney Arthur Griffis | Nurse Anesthetist, Certified Registered | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2005-06-01 |
| 1245837459 | Rebecca Anne Ralston | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-10-01 |
| 1689298036 | Clayton Shick | Nurse Anesthetist, Certified Registered | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-06-02 |
| 1407314685 | Andrea Meyer | Speech-Language Pathologist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2019-03-07 |
| 1780141721 | Chloe Wielgopolan | Occupational Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2019-02-26 |
| 1659809580 | Valerie Anne Arwood | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-05-23 |
| 1386180347 | Jessica Manijak | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-16 |
| 1467998450 | Lisa Ondrovic | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-13 |
| 1427594571 | Krzysztof Ratajczak | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-12 |
| 1114463445 | Tatum Schilling | Occupational Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164851333 | Northstar Anesthesia | General Acute Care Hospital | 837 Adrienne Ave, Ottawa, IL 61350-4792 | 2013-11-07 |
| 1972063758 | Adventhealth Ransom Memorial, Inc. | General Acute Care Hospital | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-03-20 |
| 1689821134 | St. Mary's Hospital | General Acute Care Hospital | 1640 1st Ave, Ottawa, IL 61350 | 2008-08-26 |
| 1306971080 | Ottawa Regional Hospital & Healthcare Center | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1215062997 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1558496240 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1588713440 | Ottawa Regional Hospital & Healthcare Center | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-01-09 |
| 1154313435 | Ransom Memorial Hospital | General Acute Care Hospital | 901 S Main St, Ottawa, KS 66067-3315 | 2005-08-22 |
| 1336131879 | Ransom Memorial Hospital | General Acute Care Hospital | 1301 S Main St, Ottawa, KS 66067-3537 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
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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.