DMH CORPORATE HEALTH SERVICES (NPI# 1508290875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508290875 |
| Entity Type | Organization |
| Organization Name | DMH CORPORATE HEALTH SERVICES |
| Practice Address |
2120 N 27th St Decatur IL 62526-2191 |
| Practice Telephone | 2174234300 |
| Practice Fax Number | 2177433428 |
| Mailing Telephone | 2174234300 |
| Mailing Fax Number | 2177433428 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | MR. TIMOTHY D STONE JR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 2178762114 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECATUR MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
2120 N 27TH ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154464485 | Loceean Laney | Physician Assistant | 2120 N 27th St, Decatur, IL 62526-2191 | 2007-02-15 |
| 1508334582 | Susette Litwiller | Nurse Practitioner | 2120 N 27th St, Decatur, IL 62526 | 2018-11-07 |
| 1427598903 | Jamie Cross | Nurse Practitioner | 2120 N 27th St, Decatur, IL 62526-2191 | 2017-03-02 |
| 1649723461 | Marla G Karraker | Physician Assistant | 2120 N 27th St, Decatur, IL 62526 | 2016-07-28 |
| 1235505553 | Caroline Hokl | Nurse Practitioner | 2120 N 27th St, Decatur, IL 62526-2191 | 2015-08-20 |
| 1356778559 | Deborah E Short | Physical Therapist | 2120 N 27th St, Decatur, IL 62526-2191 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194192625 | The Healthcare Authority of North Alabama | Clinic/Center | 1615 Kathy Ln Sw, Decatur, AL 35603-1026 | 2015-09-01 |
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|---|---|---|---|---|
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| 1154871127 | Concentra | Clinic/Center | 7421 South Cass Avenue, Darien, IL 60561-3607 | 2016-10-13 |
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| 1356715684 | Indus Medicine Ltd | Clinic/Center | 739 Hoover Dr, Carol Stream, IL 60188-1590 | 2015-11-24 |
| 1598131393 | Functional Life Consulting, LLC | Clinic/Center | 813 Seward St, Unit 3s, Evanston, IL 60202-2882 | 2015-08-15 |
| 1427488899 | Let's Grow, Inc. | Clinic/Center | 1746 W 17th St Rear, Chicago, IL 60608 | 2013-11-20 |
| 1447592704 | Occupational Health Centers of Illinois PC | Clinic/Center | 7421 S Cass Ave, Darien, IL 60561-3607 | 2013-03-25 |
| 1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
| 1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
| 1932426285 | Medworks Joliet Corp | Clinic/Center | 815 Campus Drive, Joliet, IL 60435 | 2010-04-27 |
| 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.