GRAHAM HOSPITAL ASSOCIATION (NPI# 1205072626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205072626 |
| Entity Type | Organization |
| Organization Name | GRAHAM HOSPITAL ASSOCIATION |
| Other Organization Name | GRAHAM MEDICAL GROUP-CANTON |
| Practice Address |
180 S Main St Canton IL 61520-2608 |
| Practice Telephone | 3096470201 |
| Practice Fax Number | 3096495302 |
| Mailing Telephone | 3096470201 |
| Mailing Fax Number | 3096495302 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2018-10-23 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Graham Medical Group-Canton | 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 |
| 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 |
| 1134236748 | Graham Hospital Association | Skilled Nursing Facility | 210 W Walnut St, Canton, IL 61520-2444 | 2006-08-23 |
| Street Address |
180 S MAIN ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794004 | Brent D Parry | Podiatrist | 180 S Main St, Canton, IL 61520-2608 | 2005-07-19 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1063976058 | Jessica Lynn Bugos | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2019-01-24 |
| 1366911497 | Rebekah Ridgeway | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-11-19 |
| 1851891071 | Lacey N Mcmahill | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-14 |
| 1205335510 | Cody J. Gibbs | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-02 |
| 1699204750 | Breann Shalene Farr | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2017-06-12 |
| 1609305390 | Karen Hahn | Social Worker | 180 S Main St, Canton, IL 61520-2608 | 2017-06-07 |
| 1346693504 | Kyle Mccarthy | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-07-22 |
| 1407201940 | Alyssa Crawford | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520-2608 | 2016-05-03 |
| Find all providers in the same location | ||||
| 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 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 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 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 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 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1902870439 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1100 E Outer Rd S Ste 4, Canton, MO 63435-1702 | 2006-02-13 |
| 1124634175 | Claxton-hepburn Medical Center | Clinic/Center | 39 W Main St, Canton, NY 13617-1358 | 2020-09-16 |
| 1134313083 | Christus Trinity Clinic | Clinic/Center | 18780 Interstate 20, Canton, TX 75103-3593 | 2007-09-04 |
| 1063431575 | Hannibal Regional Healthcare System, Inc | Clinic/Center | 1802 Elm St, Canton, MO 63435-1694 | 2006-07-18 |
| 1932144243 | Psp Medical Clinic LLC | Clinic/Center | 1171 Hart St, Canton, MS 39046-4805 | 2006-06-19 |
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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 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 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 |
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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.