ST. MARGARET'S HOSPITAL (NPI# 1497318299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497318299 |
Entity Type | Organization |
Organization Name | ST. MARGARET'S HOSPITAL |
Other Organization Name | ST. MARGARETS HEALTH GRANVILLE CLIN |
Practice Address |
309 S Mccoy St Granville IL 61326-9333 |
Mailing Address |
221 W Saint Paul St Spring Valley IL 61362-1907 |
Practice Telephone | 8153396245 |
Mailing Telephone | 8156641477 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-10-23 |
Authorized Official Name | JEANNETTE MARIE KNEEBONE (PATIENT ACCOUNTS DIRECTOR) |
Authorized Official Telephone | 8156641477 |
Authorized Official Credential | DELEGATED OFFICI |
Is Organization Subpart | Y |
Parent Organization Name | ST MARGARET'S HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SMH GRANVILLE CLINIC | Doing Business As Name - Organization |
St. Margarets Health Granville Clin | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861494072 | St. Margaret's Hospital | General Acute Care Hospital | 600 E 1st St, Spring Valley, IL 61362-1512 | 2005-06-01 |
1962547323 | St. Margaret's Hospital | Clinic/Center | 600 E 1st St, Spring Valley, IL 61362-1512 | 2007-02-21 |
Street Address |
309 S MCCOY ST |
City | GRANVILLE |
State | IL |
Zip Code | 61326-9333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437586096 | Angella Marie Greenwood | Nurse Practitioner | 309 S Mccoy St, Granville, IL 61326-9333 | 2013-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286941 | Axline's Inc. | Pharmacy | 324 S. Mccoy Street, Granville, IL 61326 | 2013-11-20 |
1538367917 | Yepsen Chiropractic Inc | Chiropractor | 108 South Mccoy Street, Granville, IL 61326 | 2007-07-06 |
1447363585 | Shawn E Bailey | Family Medicine | 309 South Mccoy Street, Granville, IL 61326 | 2006-08-15 |
1730152299 | Alan Robert Yepsen | Chiropractor | 108 S Mccoy Street, Granville, IL 61326 | 2006-02-07 |
1366445025 | Robert Bruce Dawe | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2005-05-24 |
1821536368 | Granville Dental, LLC | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2017-02-04 |
1104054022 | Evan Deuth Fiedler | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2009-06-30 |
1518970847 | Damian W Grivetti | Family Medicine | 309 S. Mccoy, Granville, IL 61326-9333 | 2006-08-15 |
1508841834 | Profesional Pharmacy Managers LLC | Pharmacy | 314 S Mccoy St, Granville, IL 61326-9333 | 2005-12-09 |
1477834802 | Toni Marie Lawley | Pharmacist | 314 S Mccoy St, Granville, IL 61326-9333 | 2011-08-30 |
Find all providers in zip 61326 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
Find all providers with the same taxonomy |
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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.