PANA COMMUNITY HOSPITAL ASSOCIATION (NPI# 1114388733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114388733 |
| Entity Type | Organization |
| Organization Name | PANA COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | COMMUNITY MEDICAL CLINIC OF NOKOMIS |
| Practice Address |
120 S Cedar St Nokomis IL 62075-1647 |
| Practice Telephone | 2175638363 |
| Practice Fax Number | 2175638373 |
| Mailing Telephone | 2175638363 |
| Mailing Fax Number | 2175638373 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | LISA BLOEMER (PRACTICE MANAGER) |
| Authorized Official Telephone | 2175626246 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEDICAL CLINIC OF NOKOMIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Community Medical Clinic of Nokomis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922469535 | Pana Community Hospital Association | Family Medicine | 103 W 6th St, Ramsey, IL 62080-0016 | 2016-03-09 |
| 1396106910 | Pana Community Hospital Association | Family Medicine | 118 N. Walnut, Assumption, IL 62510-1082 | 2016-03-09 |
| 1568651099 | Pana Community Hospital Association | Family Medicine | 715 South Superior, Ramsey, IL 62080 | 2007-10-22 |
| 1992994461 | Pana Community Hospital Association | Family Medicine | 120 S Cedar St, Nokomis, IL 62075-1647 | 2007-10-19 |
| 1013086982 | Pana Community Hospital Association | Family Medicine | 217 S Locust St, Pana, IL 62557-9998 | 2006-11-07 |
| 1760940860 | Pana Community Hospital Association | Clinic/Center | 217 S Locust St, Pana, IL 62557-1689 | 2019-03-07 |
| 1760932248 | Pana Community Hospital Association | Clinic/Center | 118 N Walnut St, Assumption, IL 62510-1082 | 2016-10-10 |
| 1861942344 | Pana Community Hospital Association | Clinic/Center | 120 S Cedar St, Nokomis, IL 62075-1647 | 2016-10-10 |
| 1619215860 | Pana Community Hospital Association | Clinic/Center | 101 E 9th St, Pana, IL 62557-1716 | 2013-01-23 |
| 1487843959 | Pana Community Hospital Association | Family Medicine | 118 N Walnut St, Assumption, IL 62510-1082 | 2007-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PANA COMMUNITY HOSPITAL ASSOCIATION | 101 E 9th St, Pana, IL 62557-1716 |
| Street Address |
120 S CEDAR ST |
| City | NOKOMIS |
| State | IL |
| Zip Code | 62075-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992994461 | Pana Community Hospital Association | Family Medicine | 120 S Cedar St, Nokomis, IL 62075-1647 | 2007-10-19 |
| 1861942344 | Pana Community Hospital Association | Clinic/Center | 120 S Cedar St, Nokomis, IL 62075-1647 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245424480 | Nicole Tonette Stauder | Physical Therapist | 505 Stevens St., Nokomis Rehabiitation and Health Care Center, Nokomis, IL 62075 | 2007-08-30 |
| 1114016888 | Nokomis-witt Area Ambulance Service Inc | Ambulance | 10 Brandon Lane, Nokomis, IL 62075 | 2006-10-12 |
| 1164560850 | Nokomis Cusd 22 | Local Education Agency (LEA) | 511 Oberle St, Nokomis, IL 62075-1015 | 2007-02-02 |
| 1659404721 | Alpha Omega Consulting, Inc. | Intermediate Care Facility, Mentally Retarded | 215 N Walnut St, Nokomis, IL 62075-1252 | 2007-03-14 |
| 1154833911 | Lauren E Mahan | Speech-Language Pathologist | 110 W Hamilton St, Nokomis, IL 62075-1266 | 2017-11-01 |
| 1366453862 | Jac Stores Inc | Pharmacy | 110 E State St, Nokomis, IL 62075-1340 | 2006-08-10 |
| 1134387988 | Hillsboro Medical Center At Nokomis Lab | Clinical Medical Laboratory | 105 S State Street, Nokomis, IL 62075-1341 | 2008-05-29 |
| 1922285600 | Springfield Clinic, LLP | Clinic/Center | 105 E State St, Nokomis, IL 62075-1341 | 2008-01-25 |
| 1073743837 | Hillsboro Medical Center At Nokomis Lab | Clinical Medical Laboratory | 105 E State St, Nokomis, IL 62075-1341 | 2009-07-15 |
| 1952399255 | Petersen Health Network, LLC | Skilled Nursing Facility | 505 Stevens St, Nokomis, IL 62075-1442 | 2005-10-11 |
| Find all providers in zip 62075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992994461 | Pana Community Hospital Association | Family Medicine | 120 S Cedar St, Nokomis, IL 62075-1647 | 2007-10-19 |
| 1134164742 | Jess Hawke | Family Medicine | 2512 Tamiami Trl N, Nokomis, FL 34275-3476 | 2006-06-18 |
| 1083652960 | Robert J Sacks | Family Medicine | 5648 Semolino St, Nokomis, FL 34275 | 2006-06-03 |
| 1255460440 | Pana Community Hosptial Association | Family Medicine | 107 W State St, Nokomis, IL 62075-1499 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 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.