KATHERINE SHAW BETHEA HOSPITAL (NPI# 1205031721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205031721 |
| Entity Type | Organization |
| Organization Name | KATHERINE SHAW BETHEA HOSPITAL |
| Other Organization Name | KSB HOSPICE |
| Practice Address |
101 W 2nd St Suite 203 Dixon IL 61021-3076 |
| Practice Telephone | 8152845710 |
| Practice Fax Number | 8152855893 |
| Mailing Telephone | 8152845710 |
| Mailing Fax Number | 8152855893 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-08-18 |
| Authorized Official Name | MR. DAVID SCHREINER (COO) |
| Authorized Official Telephone | 8152855834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2001576 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| KSB Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043546 | Katherine Shaw Bethea Hospital | General Acute Care Hospital | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-14 |
| 1912404765 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-09 |
| 1497281620 | Katherine Shaw Bethea Hospital | Pharmacy | 403 E 1st St, Dixon, IL 61021-3116 | 2017-05-09 |
| 1962600072 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2007-07-10 |
| 1811987134 | Katherine Shaw Bethea Hospital | Home Health | 101 W 2nd St, Suite 203, Dixon, IL 61021-3076 | 2005-10-27 |
| 1770578395 | Katherine Shaw Bethea Hospital | Personal Emergency Response Attendant | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-20 |
| 1023003720 | Katherine Shaw Bethea Hospital | Psychiatric Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-19 |
| Street Address |
101 W 2ND ST SUITE 203 |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350563 | Dixon Dialysis Center, LLC | Clinic/Center | 101 W 2nd St, Dixon, IL 61021-3076 | 2005-07-20 |
| 1811357288 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 101 W 2nd St, Dixon, IL 61021-3030 | 2016-02-29 |
| 1336306935 | Swedishamerican Hospital | Internal Medicine | 101 W 2nd St, Suite 130, Dixon, IL 61021-3076 | 2008-05-21 |
| 1952368227 | Kenneth Wayne Pitkin | Chiropractor | 101 W 2nd St, Ste 150, Dixon, IL 61021 | 2006-04-28 |
| 1811987134 | Katherine Shaw Bethea Hospital | Home Health | 101 W 2nd St, Suite 203, Dixon, IL 61021-3076 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
| 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.