COMMUNITY MEDICAL CENTER OF WESTERN IL INC (NPI# 1265432363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265432363 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTER OF WESTERN IL INC |
| Practice Address |
1000 W Harlem Ave Monmouth IL 61462-1007 |
| Practice Telephone | 3097343141 |
| Practice Fax Number | 3097343029 |
| Mailing Telephone | 3097343141 |
| Mailing Fax Number | 3097343029 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRETT L STAHL (PROJECTS COORDINATOR) |
| Authorized Official Telephone | 3097341431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1010048 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441475 | Community Medical Center of Western Il Inc | General Acute Care Hospital | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2006-01-10 |
| 1992783138 | Community Medical Center of Western Il Inc | Clinic/Center | 1000 W Harlem Ave, Monmouth, IL 61462-1099 | 2006-01-06 |
| 1215914122 | Community Medical Center of Western Il Inc | Nurse Anesthetist, Certified Registered | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-30 |
| 1861479776 | Community Medical Center of Western Il Inc | Medicare Defined Swing Bed Unit | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-30 |
| Street Address |
1000 W HARLEM AVE |
| City | MONMOUTH |
| State | IL |
| Zip Code | 61462-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253997 | Catherine Jane Steck | Physical Therapist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2020-04-13 |
| 1205482254 | Tonya Renee Gibbs | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-08-15 |
| 1285193441 | Carrie Anne Green | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-03-18 |
| 1700399516 | Osf Healthcare System | Emergency Medicine | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2017-11-15 |
| 1508396045 | Tina Gayle Canada | Registered Nurse | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2017-06-18 |
| 1972058063 | Nancy J Nelson-beliveau | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2016-08-18 |
| 1477964880 | Michael Raymond | Counselor | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2014-05-20 |
| 1972739548 | Sheila Raedine Feaster | Podiatrist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2009-06-09 |
| 1871763458 | Dr Byung Il Hyun Md | Radiology | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2008-03-10 |
| 1013128925 | Nayantara Jnananand | Family Medicine | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
| 1518413103 | Daniel Chard | Emergency Medical Technician, Basic | 331 S. 6th St, Monmouth, IL 61462 | 2016-09-01 |
| 1174079388 | Patrick Spears | Emergency Medical Technician, Paramedic | 601 Industrial Park Road, Monmouth, IL 61462 | 2016-08-28 |
| 1326222993 | Terri Lynn Gittings | Registered Nurse | Industrial Park Road, Bridgeway Inc, Monmouth, IL 61462 | 2007-12-19 |
| 1811011422 | Hancock Mcdonough Roe 21 | Local Education Agency (LEA) | 1301 N Main, Ste 3, Monmouth, IL 61462 | 2007-03-19 |
| 1295870137 | Warren Achievement Center Inc | Case Management | 1220 East Second Avenue, Monmouth, IL 61462 | 2007-02-20 |
| 1265527931 | Petersen Health Systems, Ins | Assisted Living Facility | 1 Courtyard Blvd, Monmouth, IL 61462-1086 | 2006-10-04 |
| 1881759678 | Clyde Don Elswick | Registered Nurse | 1000 West Harlem Avenue, Monmouth, IL 61462-1099 | 2006-12-22 |
| 1447239728 | Community Medical Center of Western Illinois Inc | Skilled Nursing Facility | 1000 W Harlem Avenue, Monmouth, IL 61462-1099 | 2006-01-13 |
| 1023095437 | Community Medical Center of Western Illinois Inc | Clinic/Center | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-28 |
| Find all providers in zip 61462 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831203546 | Western Illinois Home Health Care, Inc. | Home Health | 2 Industrial Park Ave, Monmouth, IL 61462-9698 | 2006-08-18 |
| 1437282639 | Osf Healthcare System | Home Health | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
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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.