WEST SALEM CLINIC LTD (NPI# 1356331078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356331078 |
| Entity Type | Organization |
| Organization Name | WEST SALEM CLINIC LTD |
| Other Organization Name | FAMILY PRACTICE ASSOC |
| Practice Address |
100 S Main St West Salem IL 62476-1202 |
| Mailing Address |
100 S Main St Po Box 306 West Salem IL 62476-1202 |
| Practice Telephone | 6184563727 |
| Practice Fax Number | 6184563774 |
| Mailing Telephone | 6184563727 |
| Mailing Fax Number | 6184563774 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | HARRY TIMOTHY GARRETT (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 6184563727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Practice Assoc | Doing Business As Name - Organization |
| Street Address |
100 S MAIN ST |
| City | WEST SALEM |
| State | IL |
| Zip Code | 62476-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659893527 | Brandi L Alvord | Nurse Practitioner | 100 S Main St, West Salem, IL 62476 | 2017-07-12 |
| 1922475037 | Richland Memorial Hospital, Inc. | Clinic/Center | 100 S Main St, West Salem, IL 62476-1202 | 2015-08-24 |
| 1952781684 | Richland Memorial Hospital, Inc. | Clinic/Center | 100 S Main St, West Salem, IL 62476-1202 | 2015-06-08 |
| 1215060298 | Gail Greathouse | Nurse Practitioner | 100 S Main St, West Salem, IL 62476-1202 | 2007-03-13 |
| 1871589515 | Harry Timothy Garrett | Family Medicine | 100 S Main St, West Salem, IL 62476-1202 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417592098 | Emily Brown | Pharmacist | 108 S Main St, West Salem, IL 62476-1202 | 2019-11-07 |
| 1235790940 | Richland Memorial Hospital, Inc | Durable Medical Equipment & Medical Supplies | 108 S Main St, West Salem, IL 62476-1202 | 2019-06-24 |
| 1952961997 | Richland Memorial Hospital, Inc | Pharmacy | 108 S Main St, West Salem, IL 62476-1202 | 2019-06-20 |
| 1093809402 | Apothecary Shoppe of West Salem Inc | Durable Medical Equipment & Medical Supplies | 108 S Main St, West Salem, IL 62476-1202 | 2006-10-03 |
| 1093935470 | Kelly Rayhill Johnson | Occupational Therapist | 5748 N 2300 Ln, West Salem, IL 62476-3068 | 2007-04-26 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629223896 | George P Gersch | Family Medicine | N5021 Oakview Dr, West Salem, WI 54669-9308 | 2008-12-01 |
| 1154485134 | Charles R Hoyt | Family Medicine | 10140 N Elyria Rd, West Salem, OH 44287 | 2006-12-21 |
| 1871589515 | Harry Timothy Garrett | Family Medicine | 100 S Main St, West Salem, IL 62476-1202 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST SALEM |
| Zip Code | 62476 |
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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.