KIRBY MEDICAL CENTER (NPI# 1508219288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508219288 |
| Entity Type | Organization |
| Organization Name | KIRBY MEDICAL CENTER |
| Other Organization Name | CERRO GORDO RURAL HEALTH CLINIC |
| Practice Address |
407 South Jackson Street Suite A Cerro Gordo IL 61818-4356 |
| Mailing Address |
1000 Medical Center Dr Monticello IL 61856-2116 |
| Practice Telephone | 2177636010 |
| Practice Fax Number | 2177636012 |
| Mailing Telephone | 2177621540 |
| Mailing Fax Number | 2177621542 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MR. STEVEN D TENHOUSE (CEO) |
| Authorized Official Telephone | 2177621501 |
| Is Organization Subpart | Y |
| Parent Organization Name | KIRBY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cerro Gordo Rural Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074714 | Kirby Medical Center | Pharmacy | 1402 N Market St, Monticello, IL 61856-8002 | 2020-08-19 |
| 1437711140 | Kirby Medical Center | Pharmacy | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2019-07-02 |
| 1558527259 | Kirby Medical Center | Clinic/Center | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2008-08-01 |
| 1598869133 | Kirby Medical Center | Ambulance | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2006-09-12 |
| 1376524322 | Kirby Medical Center | Durable Medical Equipment & Medical Supplies | 1111 N State St, Monticello, IL 61856-1151 | 2005-11-08 |
| 1437140027 | Kirby Medical Center | Skilled Nursing Facility | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-11-02 |
| 1740271667 | Kirby Medical Center | Clinic/Center | 108 S Main St, Atwood, IL 61913-0705 | 2005-10-31 |
| 1386635373 | Kirby Medical Center | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-10-31 |
| 1730179847 | Kirby Medical Center | General Acute Care Hospital | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-10-28 |
| Street Address |
407 SOUTH JACKSON STREET SUITE A |
| City | CERRO GORDO |
| State | IL |
| Zip Code | 61818-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700060688 | Cerro Gordo School Dist 100 | Local Education Agency (LEA) | 300 E Durfee St, Cerro Gordo, IL 61818 | 2007-12-27 |
| 1013050897 | Cerro Gordo Comm Amb Srvc | Ambulance | 304 E North St, Cerro Gordo, IL 61818-0181 | 2007-02-14 |
| 1053514919 | John Albert Sochor | Dentist | 223 E South St, Cerro Gordo, IL 61818-0739 | 2007-06-07 |
| 1245777911 | Jac Stores Inc | Pharmacy | 407 S Jackson St, Cerro Gordo, IL 61818-4360 | 2017-01-19 |
| 1023360419 | Kimberly A Kish | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2012-10-09 |
| 1952799843 | Tanya Marie Bowsher | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347994 | Doctor of Physical Therapy | Physical Therapist | 2450 Otto Nance Rd, Cerro Gordo, NC 28430 | 2019-03-29 |
| 1245777911 | Jac Stores Inc | Pharmacy | 407 S Jackson St, Cerro Gordo, IL 61818-4360 | 2017-01-19 |
| 1023360419 | Kimberly A Kish | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2012-10-09 |
| 1205184694 | G&g Healthcare, PC | Clinic/Center | 7490 Andrew Jackson Hwy, Cerro Gordo, NC 28430-0250 | 2012-08-16 |
| 1538300900 | Darlene Hill Pressley | Family Medicine | 7490 Andrew Jackson Hwy Sw, Cerro Gordo, NC 28430-0250 | 2009-03-16 |
| 1700060688 | Cerro Gordo School Dist 100 | Local Education Agency (LEA) | 300 E Durfee St, Cerro Gordo, IL 61818 | 2007-12-27 |
| 1053514919 | John Albert Sochor | Dentist | 223 E South St, Cerro Gordo, IL 61818-0739 | 2007-06-07 |
| 1376667154 | G&g Healthcare, PC Cerro Gordo | Family Medicine | 7490 Andrew Jackson Highway, Cerro Gordo, NC 28430 | 2007-03-19 |
| 1013050897 | Cerro Gordo Comm Amb Srvc | Ambulance | 304 E North St, Cerro Gordo, IL 61818-0181 | 2007-02-14 |
| 1366545642 | James Lennart Carlson | Family Medicine | 7490 Andrew Jackson Hwy.sw, Cerro Gordo, NC 28430 | 2006-09-05 |
| Find all providers in CERRO GORDO | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 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 | ||||
| City | CERRO GORDO |
| Zip Code | 61818 |
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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.