SALEM TOWNSHIP HOSPITAL (NPI# 1184783425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184783425 |
Entity Type | Organization |
Organization Name | SALEM TOWNSHIP HOSPITAL |
Practice Address |
1201 Ricker Drive Salem IL 62881 |
Practice Telephone | 6185483194 |
Practice Fax Number | 6185486831 |
Mailing Telephone | 6185483194 |
Mailing Fax Number | 6185486831 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. TERESA LYNN FUHRHOP (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6185483194 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 0002089 | IL | Hospital Units |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295739548 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Drive, Salem, IL 62881 | 2005-06-02 |
1649830472 | Salem Township Hospital | Clinic/Center | 1321 W Whittaker St, Salem, IL 62881-2013 | 2019-06-14 |
1629433784 | Salem Township Hospital | Nurse Practitioner | 1321 W Whittaker St, Salem, IL 62881-2013 | 2015-12-16 |
1750429742 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-02-02 |
1518024637 | Salem Township Hospital | Internal Medicine | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-01-02 |
1770649931 | Salem Township Hospital | Nurse Anesthetist, Certified Registered | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-29 |
1508922816 | Salem Township Hospital | Internal Medicine | 1201 Ricker Rd, Salem, IL 62881-4263 | 2006-12-29 |
1689732463 | Salem Township Hospital | Emergency Medicine | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-05 |
1659382893 | Salem Township Hospital | Home Health | 1201 Ricker Drive, Salem, IL 62881 | 2006-08-11 |
1265467195 | Salem Township Hospital | Clinic/Center | 1201 Ricker Drive, Salem, IL 62881 | 2006-07-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SALEM TOWNSHIP HOSPITAL | 1201 Ricker Dr, Salem, IL 62881-4263 |
Street Address |
1201 RICKER DRIVE |
City | SALEM |
State | IL |
Zip Code | 62881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295739548 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Drive, Salem, IL 62881 | 2005-06-02 |
1376107532 | Amna Haq | Dietitian, Registered | 1201 Ricker Drive, Salem, IL 62881 | 2019-04-23 |
1770649931 | Salem Township Hospital | Nurse Anesthetist, Certified Registered | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-29 |
1689732463 | Salem Township Hospital | Emergency Medicine | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-05 |
1659382893 | Salem Township Hospital | Home Health | 1201 Ricker Drive, Salem, IL 62881 | 2006-08-11 |
1265467195 | Salem Township Hospital | Clinic/Center | 1201 Ricker Drive, Salem, IL 62881 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
Find all providers in zip 62881 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245560705 | St Vincent Salem Hospital Inc | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
1821223439 | Critical Access Health Services Corp. | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2009-05-27 |
1841377983 | Fulton County Hospital | Medicare Defined Swing Bed Unit | 679 North Main, Salem, AR 72576-9451 | 2006-11-01 |
1134199417 | Salem Memorial Hospital | Medicare Defined Swing Bed Unit | 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316169949 | Alexian Brothers Medical Center | Medicare Defined Swing Bed Unit | 800 Biesterfield Rd Ste 605, Eberle Medical Office Building, Elk Grove Village, IL 60007-3362 | 2007-05-03 |
1902854623 | Cgh Medical Center | Medicare Defined Swing Bed Unit | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-05 |
1336638915 | Valley West Community Hospital | Medicare Defined Swing Bed Unit | 1302 N Main St, Sandwich, IL 60548-2587 | 2018-05-09 |
1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
1912404765 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-09 |
1801212055 | Osf Healthcare System | Medicare Defined Swing Bed Unit | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-12 |
1639595036 | Southern Illinois Hospital Services | Medicare Defined Swing Bed Unit | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2014-03-10 |
1295066983 | Advocate Health and Hospitals Corp. | Medicare Defined Swing Bed Unit | 101 S Major St, Eureka, IL 61530-1246 | 2010-01-20 |
1114199122 | Accuracy Urgent Care | Medicare Defined Swing Bed Unit | 805 W Deyoung St, Suite E, Marion, IL 62959-1604 | 2008-03-31 |
1174713440 | St Francis Hospital Sisters of The Third Order of St Francis | Medicare Defined Swing Bed Unit | 1215 Franciscan Dr, Box 1215, Litchfield, IL 62056-1778 | 2007-08-01 |
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.