MENDOTA COMMUNITY HOSPITAL (NPI# 1205383197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205383197 |
| Entity Type | Organization |
| Organization Name | MENDOTA COMMUNITY HOSPITAL |
| Other Organization Name | OSF MEDICAL GROUP-WASHINGTON STREET |
| Practice Address |
1401 Washington Street Mendota IL 61342-0001 |
| Practice Telephone | 8155381825 |
| Mailing Telephone | 8155381825 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | SISTER DIANE MARIE MCGREW (PRESIDENT, OSF HEALTHCARE SYSTEM) |
| Authorized Official Telephone | 3096552850 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSF HEALTHCARE SYSTEM |
| 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 |
|---|---|
| OSF Medical Group-Washington Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1609803113 | Mendota Community Hospital | General Acute Care Hospital | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-06-28 |
| 1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
| 1376673087 | Mendota Community Hospital | Prosthetic/Orthotic Supplier | 1401 East 12th Street, Mendota, IL 61342-9216 | 2007-03-06 |
| 1962537498 | Mendota Community Hospital | General Acute Care Hospital | 1401 East 12th Street, Mendota, IL 61342-9216 | 2007-02-23 |
| 1417973900 | Mendota Community Hospital | Emergency Medicine | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-15 |
| 1407872997 | Mendota Community Hospital | Orthopaedic Surgery | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-15 |
| 1922024843 | Mendota Community Hospital | Medicare Defined Swing Bed Unit | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-14 |
| 1952336323 | Mendota Community Hospital | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-12 |
| 1578598751 | Mendota Community Hospital | Prosthetic/Orthotic Supplier | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-12 |
| Street Address |
1401 WASHINGTON STREET |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| 1356576300 | Barbara Jean Needs | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2009-05-20 |
| Find all providers in zip 61342 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
| 1225252869 | Firebaugh, Mendota Health Clinics, Inc | Clinic/Center | 507 Oller St, Mendota, CA 93640-2360 | 2007-04-13 |
| 1881730661 | Westside Medical Group of Mendota Inc. | Clinic/Center | 450 Oller St, Suite#101, Mendota, CA 93640-2313 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 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 |
| 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.