MERCY HARVARD HOSPITAL INC (NPI# 1427001445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427001445 |
Entity Type | Organization |
Organization Name | MERCY HARVARD HOSPITAL INC |
Practice Address |
901 Grant St Harvard IL 60033-1821 |
Practice Telephone | 8159435431 |
Practice Fax Number | 8159432726 |
Mailing Telephone | 8159435431 |
Mailing Fax Number | 8159432726 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2020-07-24 |
Authorized Official Name | TODD ANDERSON (VP/CFO) |
Authorized Official Telephone | 8159716752 |
Is Organization Subpart | Y |
Parent Organization Name | MERCYHEALTH CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 4911 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4911 | IL | Ambulatory Health Care Facilities |
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0004911 | IL | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 11002000 | 05 | |
IL | BCBSIL | 00196 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124195557 | Mercy Harvard Hospital Inc | Skilled Nursing Facility | 901 Grant St, Harvard, IL 60033-1821 | 2006-11-29 |
Street Address |
901 GRANT ST |
City | HARVARD |
State | IL |
Zip Code | 60033-1821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609869163 | Victor I Garber | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2005-08-30 |
1629588660 | Margaret A. Pawlowski | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2017-10-04 |
1538606488 | Amber Lynn Omiecinski | Nurse Practitioner | 901 Grant St, Harvard, IL 60033-1821 | 2017-01-30 |
1255708475 | Pamela Rees | Occupational Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2015-08-24 |
1891161709 | Melissa K Flies | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2015-08-14 |
1124423645 | Thomas Stephen Olsen | Physical Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2014-10-27 |
1306263124 | Pamela Wood | Physical Therapy Assistant | 901 Grant St, Harvard, IL 60033-1821 | 2014-03-19 |
1679834709 | Sheila Booc Kafka | Physical Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2012-06-05 |
1306157250 | Michele K Moore | Occupational Therapist | 901 Grant St, Harvard, IL 60033-1821 | 2010-06-25 |
1871827147 | Sammy T Dean | Anesthesiology | 901 Grant St, Harvard, IL 60033-1821 | 2009-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902962681 | Jon Karl Warnecke | Chiropractor | 30 N Ayer St, Harvard, IL 60033 | 2006-12-28 |
1164524336 | Timothy A Chrapkiewicz | Dentist | 604 N Division, Harvard, IL 60033 | 2006-09-01 |
1972584423 | Terri Lynne O'malley | Pediatrics | 5615 Irish Lane, Harvard, IL 60033 | 2005-11-10 |
1972012060 | Jessica Crowell Bumpus | Nurse Practitioner | 62 N Ayer St, Harvard, IL 60033 | 2017-09-21 |
1093944324 | Imran Ali | Optometrist | 313 N Division St, Harvard, IL 60033 | 2009-07-08 |
1700392024 | Sandra Lee Knop | Speech-Language Pathologist | 1200 N Jefferson St, Harvard, IL 60033-1730 | 2017-12-21 |
1891805081 | James H Sullivan | Emergency Medicine | 901 Grant Street, Harvard, IL 60033-1821 | 2006-08-30 |
1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
1326329483 | Sharon A Swanson | Dietitian, Registered | 1001 Grant St, Harvard, IL 60033-1822 | 2011-09-02 |
1063860658 | Bonnie Hastings | Social Worker | 803 N Division St, Harvard, IL 60033-2223 | 2016-05-24 |
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Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
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1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
1578885182 | Hillsboro Area Hospital | General Acute Care Hospital | 120 W Saint John St, Ste 2, Litchfield, IL 62056-2169 | 2010-02-23 |
1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
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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.