GRAHAM HOSPITAL ASSOCIATION (NPI# 1134236748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134236748 |
| Entity Type | Organization |
| Organization Name | GRAHAM HOSPITAL ASSOCIATION |
| Other Organization Name | GRAHAM HOSPITAL EXTENDED CARE FACILITY |
| Practice Address |
210 W Walnut St Canton IL 61520-2444 |
| Practice Telephone | 3096475240 |
| Practice Fax Number | 3096495110 |
| Mailing Telephone | 3096475240 |
| Mailing Fax Number | 3096495110 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | JULIE REEDER (VP OF FINANCE/CFO) |
| Authorized Official Telephone | 3096475240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0000869 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD IL | 0921 | 01 |
| Other Name | Type Code |
|---|---|
| Graham Hospital Extended Care Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463563 | Graham Hospital Association | Clinic/Center | 120 E Gale St, Williamsfield, IL 61489-5418 | 2020-10-02 |
| 1093288797 | Graham Hospital Association | Family Medicine | 1024 N. Magnolia St., Elmwood, IL 61529 | 2019-01-04 |
| 1750527172 | Graham Hospital Association | Family Medicine | 408 S. Main Street, Lewistown, IL 61542-1563 | 2009-01-07 |
| 1134139785 | Graham Hospital Association | Hospice Care, Community Based | 225 W Walnut St, Canton, IL 61520-2443 | 2006-08-08 |
| 1568005981 | Graham Hospital Association | Clinic/Center | 1800 23rd Ave, Avon, IL 61415-9126 | 2019-10-18 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1841436268 | Graham Hospital Association | Family Medicine | 601 E Fort St, Farmington, IL 61531-1338 | 2009-01-07 |
| 1205072626 | Graham Hospital Association | Family Medicine | 180 S Main St, Canton, IL 61520-2608 | 2009-01-07 |
| 1740450998 | Graham Hospital Association | General Acute Care Hospital | 210 W Walnut St, Canton, IL 61520-2444 | 2008-03-04 |
| 1154518454 | Graham Hospital Association | Family Medicine | 114 S 4th St, Cuba, IL 61427-5062 | 2007-10-01 |
| Street Address |
210 W WALNUT ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540559 | Andrew Roudebush | Family Medicine | 210 W Walnut St, Canton, IL 61520-2444 | 2005-07-04 |
| 1063046464 | Dara Marie Wagner | Nurse Practitioner | 210 W Walnut St, Canton, IL 61520-2444 | 2020-02-25 |
| 1235699893 | Christina Willey | Occupational Therapist | 210 W Walnut St, Canton, IL 61520-2444 | 2019-03-20 |
| 1487174744 | Joshua J Wilkinson | Nurse Practitioner | 210 W Walnut St, Canton, IL 61520-2444 | 2017-06-27 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1790143683 | Midwest Mobile Anesthesia Consultants, Sc | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520-2444 | 2016-02-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1932530938 | Amy Sammis | Dietitian, Registered | 210 W Walnut St, Canton, IL 61520-2444 | 2013-12-02 |
| 1609111988 | William Severt | Physical Therapist | 210 W Walnut St, Canton, IL 61520-2444 | 2012-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
| 1659970267 | Amanda Sue Kinne | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-10-23 |
| 1952879132 | Loft Rehabilitation and Nursing of Canton LLC | Skilled Nursing Facility | 2081 N Main St, Canton, IL 61520-1032 | 2018-11-06 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370640 | 3660 Greentree Leasing, LLC | Skilled Nursing Facility | 3660 Greentree Ave Sw, Canton, OH 44706-4024 | 2018-06-14 |
| 1851881825 | House of Loreto for Senior Citizens | Skilled Nursing Facility | 2812 Harvard Ave Nw, Canton, OH 44709-3155 | 2018-05-15 |
| 1316491905 | The Lodge At New Dawn, Inc. | Skilled Nursing Facility | 3660 Greentree Avenue, Sw, Canton, OH 44706-4024 | 2016-08-11 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1336532522 | Newton Healthcare Center | Skilled Nursing Facility | 14 Capen Pl, Canton, MA 02021-3648 | 2015-03-11 |
| 1417255233 | Dallas County Hospital District | Skilled Nursing Facility | 1901 S Trade Days Blvd, Canton, TX 75103 | 2011-03-02 |
| 1508987272 | Ssc Canton Operating Company LLC | Skilled Nursing Facility | 150 Hospital Cir, Canton, GA 30114-3209 | 2007-04-02 |
| 1750431391 | Madison County Nursing Home | Skilled Nursing Facility | 1421a E Peace St, Canton, MS 39046-4938 | 2007-01-12 |
| 1225101819 | Amicus Health Care Services, Inc. | Skilled Nursing Facility | 2026 Vzcr 2205, Canton, TX 75103 | 2006-11-15 |
| 1306917869 | Canton Care, LLC | Skilled Nursing Facility | 2714 13th St Nw, Canton, OH 44708-3121 | 2006-11-13 |
| Find all providers in CANTON | ||||
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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.