HAMMOND HENRY DIST HOSPITAL (NPI# 1114582913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114582913 |
| Entity Type | Organization |
| Organization Name | HAMMOND HENRY DIST HOSPITAL |
| Other Organization Name | HAMMOND HENRY ANNAWAN CLINIC |
| Practice Address |
203 W Front St Annawan IL 61234-7756 |
| Mailing Address |
600 N College Ave Geneseo IL 61254-1091 |
| Practice Telephone | 3099354100 |
| Mailing Telephone | 3099446431 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | RHONDA RICE (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 3099449122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hammond Henry Annawan Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213308 | Hammond Henry Dist Hospital | Clinic/Center | 600 N College Ave, Geneseo, IL 61254-1091 | 2018-02-01 |
| 1629517313 | Hammond Henry Dist Hospital | Clinic/Center | 1258 W South St Ste 2, Kewanee, IL 61443-8300 | 2017-02-15 |
| 1437698123 | Hammond Henry Dist Hospital | Clinic/Center | 101 S Galena Ave, Wyoming, IL 61491-1470 | 2017-02-15 |
| 1740397447 | Hammond Henry Dist Hospital | Medicare Defined Swing Bed Unit | 600 N College Ave, Geneseo, IL 61254-1091 | 2006-08-25 |
| 1699882191 | Hammond Henry Dist Hospital | Home Health | 600 N College Ave, Geneseo, IL 61254-1091 | 2006-08-23 |
| 1164535431 | Hammond Henry Dist Hospital | Rehabilitation Unit | 600 N College Ave, Geneseo, IL 61254-1091 | 2006-08-17 |
| 1457344491 | Hammond Henry Dist Hospital | General Acute Care Hospital | 600 N College Ave, Geneseo, IL 61254-1091 | 2005-08-24 |
| Street Address |
203 W FRONT ST |
| City | ANNAWAN |
| State | IL |
| Zip Code | 61234-7756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407170798 | Kelli Rae Desplinter | Physical Therapy Assistant | 16142 E 2600 St, Annawan, IL 61234 | 2010-03-16 |
| 1619473204 | Jason Wilfred David | Student in an Organized Health Care Education/Training Program | 104 N Meadow Ln, Annawan, IL 61234-7603 | 2018-04-02 |
| 1306119953 | Annawan-alba Fire Protection District | Ambulance | 101 S Main St, Annawan, IL 61234-7704 | 2012-02-13 |
| 1174501332 | Randall L Mullin | Family Medicine | 110 S Depot St, Annawan, IL 61234-7768 | 2006-01-06 |
| 1447289806 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 110 S Depot St, Annawan, IL 61234-7768 | 2006-06-30 |
| 1093794745 | Paul M Rudy | Family Medicine | 110 S Depot St, Annawan, IL 61234-7768 | 2006-01-11 |
| 1093917551 | Annawan Community Unit 226 | Local Education Agency (LEA) | 501 W South St, Annawan, IL 61234-9715 | 2007-06-05 |
| 1598197105 | Countrywide Smiles P.C. | Dentist | 110 S State St, Annawan, IL 61234-9716 | 2013-08-06 |
| 1487092714 | Rima Mounsef | Dentist | 110 S State St, Annawan, IL 61234-9716 | 2013-06-09 |
| 1407859283 | Thomas Joseph Van Vooren | Dentist | 110 S State St, Annawan, IL 61234-9716 | 2005-05-24 |
| Find all providers in zip 61234 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 |
| 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 |
| 1356884993 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit B, Cissna Park, IL 60924-9710 | 2016-11-30 |
| 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.