KATHERINE SHAW BETHEA HOSPITAL (NPI# 1497281620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497281620 |
| Entity Type | Organization |
| Organization Name | KATHERINE SHAW BETHEA HOSPITAL |
| Other Organization Name | KATHERINE SHAW BETHEA HOSPITAL PHARMACY |
| Practice Address |
403 E 1st St Dixon IL 61021-3116 |
| Practice Telephone | 8152855586 |
| Practice Fax Number | 8152855923 |
| Mailing Telephone | 8152855586 |
| Mailing Fax Number | 8152855923 |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MS. JULIE D MANN (VP/CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8152855538 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.016955 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Katherine Shaw Bethea Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043546 | Katherine Shaw Bethea Hospital | General Acute Care Hospital | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-14 |
| 1912404765 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-09 |
| 1962600072 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2007-07-10 |
| 1205031721 | Katherine Shaw Bethea Hospital | Hospice Care, Community Based | 101 W 2nd St, Suite 203, Dixon, IL 61021-3076 | 2007-06-15 |
| 1811987134 | Katherine Shaw Bethea Hospital | Home Health | 101 W 2nd St, Suite 203, Dixon, IL 61021-3076 | 2005-10-27 |
| 1770578395 | Katherine Shaw Bethea Hospital | Personal Emergency Response Attendant | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-20 |
| 1023003720 | Katherine Shaw Bethea Hospital | Psychiatric Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-19 |
| Street Address |
403 E 1ST ST |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043546 | Katherine Shaw Bethea Hospital | General Acute Care Hospital | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-14 |
| 1063029247 | Valarie Pfoutz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-30 |
| 1639786288 | Stephanie Marie Berlin | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1639786270 | Marissa Leigh Frost | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1588270797 | Tiffany L Hummel | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-22 |
| 1811513641 | Beth Barbara Reittinger | Podiatrist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-06-17 |
| 1205458528 | Andres David Arellano | Physical Therapist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-05-08 |
| 1144856667 | Connor Skoumal | Physical Therapist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-03-16 |
| 1760022180 | Chris A Herbert | Emergency Medicine | 403 E 1st St, Dixon, IL 61021-3187 | 2020-01-14 |
| 1508414756 | Ann C Lee | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1467467761 | Walgreen Co | Pharmacy | 1275 N Galena Ave, Dixon, IL 61021-1001 | 2006-07-29 |
| 1992081988 | Walgreens | Pharmacy | 1275 N Galena Ave, Dixon, IL 61021-1001 | 2011-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHERINE SHAW BETHEA HOSPITAL.
| 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.