HAMMOND HENRY HOSPITAL (NPI# 1306987201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306987201 |
Entity Type | Organization |
Organization Name | HAMMOND HENRY HOSPITAL |
Other Organization Name | HAMMOND HENRY DISTRICT HOSPITAL |
Practice Address |
600 N College Ave Geneseo IL 61254-1091 |
Practice Telephone | 3099449139 |
Practice Fax Number | 3099449262 |
Mailing Telephone | 3099449139 |
Mailing Fax Number | 3099449262 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2012-10-19 |
Authorized Official Name | BRAD SOLBERG (CEO) |
Authorized Official Telephone | 3099444625 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
051034444 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1479725 | 01 |
Other Name | Type Code |
---|---|
HAMMOND HENRY DISTRICT HOSPITAL | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
1649467622 | Hammond Henry Hospital | Social Worker | 600 N College Ave, Geneseo, IL 61254-1091 | 2007-10-03 |
1184757015 | Hammond Henry Hospital | Emergency Medical Technician, Basic | 600 N College Ave, Geneseo, IL 61254-1091 | 2007-03-13 |
1376676213 | Hammond Henry Hospital | General Acute Care Hospital | 600 N College Ave, Geneseo, IL 61254-1091 | 2007-03-13 |
1992838833 | Hammond Henry Hospital | General Acute Care Hospital | 600 N College Ave, Geneseo, IL 61254-1091 | 2007-03-13 |
Street Address |
600 N COLLEGE AVE |
City | GENESEO |
State | IL |
Zip Code | 61254-1091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417956319 | Quad Cities Kidney Center, Ltd. | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1096 | 2005-07-21 |
1528675733 | Marcella Alene Miner | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1099 | 2020-09-30 |
1285278093 | Kailey Nicole Limes | Dietitian, Registered | 600 N College Ave, Geneseo, IL 61254-1099 | 2019-11-05 |
1164065801 | Staci Lynne Circello | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1099 | 2019-10-25 |
1164926945 | Kristen K Maughan | Dietitian, Registered | 600 N College Ave, Geneseo, IL 61254-1094 | 2018-03-19 |
1093213308 | Hammond Henry Dist Hospital | Clinic/Center | 600 N College Ave, Geneseo, IL 61254-1091 | 2018-02-01 |
1497207799 | Brittany Courson | Nurse Practitioner | 600 N College Ave, Ste 102, Geneseo, IL 61254-1091 | 2016-11-03 |
1821440959 | Kati Grimes | Nurse Practitioner | 600 N College Ave, Ste 120, Geneseo, IL 61254-1091 | 2016-07-13 |
1548620909 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1091 | 2016-02-29 |
1285005850 | Iowa Physicians Clinic Medical Foundation | Physician Assistant | 600 N College Ave, Suite 120, Geneseo, IL 61254-1095 | 2015-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891259362 | Allison J Blade | Nurse Practitioner | 600 N College Avenue Suite 120, Geneseo, IL 61254 | 2019-01-29 |
1477070258 | Aaron Thomas Wachtel, Dds | Dentist | 608 E. Ogden Avenue, Geneseo, IL 61254 | 2017-08-23 |
1558895722 | Triston Harry | Social Worker | 2707 17th Street, Rock Island, IL 61254 | 2017-04-14 |
1306392980 | Rebecca Woodard | Counselor | 2701 17 Street, Rock Island, IL 61254 | 2016-09-01 |
1164701082 | Kara Wiedenhoeft | Physical Therapist | 29 Meadowbrook Drive, Geneseo, IL 61254 | 2011-08-09 |
1982256301 | Jalyn April Salas | Occupational Therapy Assistant | 704 S Illinois St, Geneseo, IL 61254 | 2019-07-15 |
1306318001 | Ashley Mclaughlin | Social Worker | 2701 17th St, Rock Island, IL 61254 | 2018-12-19 |
1144747858 | Logan Hagerman | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-08-23 |
1013454677 | Amber Leanne Cozad | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-01-20 |
1457898173 | Paul Schmidt | Counselor | 2701 17th Street, Rock Island, IL 61254 | 2017-01-20 |
Find all providers in zip 61254 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740745116 | Vorac Pharmacy LLC | Pharmacy | 114 S State St, Geneseo, IL 61254-1348 | 2019-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912512989 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 | 2020-09-15 |
1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
1538672449 | Wear Ltc | Pharmacy | 527 N Madison St Ste B, Carthage, IL 62321-1034 | 2017-11-14 |
1124546031 | Symbria Rx Services, LLC. | Pharmacy | 3200 Grant St Rm 41, Evanston, IL 60201-1903 | 2017-08-31 |
1699146720 | Pharmblue Illinois LLC | Pharmacy | 2960 Chartres St Ste 100, La Salle, IL 61301-1097 | 2015-10-15 |
1194144691 | Lifemed Illinois, LLC | Pharmacy | 881 Il Route 83, Bensenville, IL 60106-1219 | 2014-04-11 |
1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
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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.