GRAHAM HOSPITAL ASSOCIATION (NPI# 1568005981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568005981 |
| Entity Type | Organization |
| Organization Name | GRAHAM HOSPITAL ASSOCIATION |
| Other Organization Name | GRAHAM MEDICAL GROUP - SAUNDERS CLINIC |
| Practice Address |
1800 23rd Ave Avon IL 61415-9126 |
| Mailing Address |
180 S Main St Canton IL 61520-2608 |
| Practice Telephone | 3096470201 |
| Practice Fax Number | 3096478613 |
| Mailing Telephone | 3096470201 |
| Mailing Fax Number | 3096478613 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | JULIE REEDER (VP OF FINANCE/ CFO) |
| Authorized Official Telephone | 3096475240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Graham Medical Group - Saunders Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463563 | Graham Hospital Association | Clinic/Center | 120 E Gale St, Williamsfield, IL 61489-5418 | 2020-10-02 |
| 1093288797 | Graham Hospital Association | Family Medicine | 1024 N. Magnolia St., Elmwood, IL 61529 | 2019-01-04 |
| 1750527172 | Graham Hospital Association | Family Medicine | 408 S. Main Street, Lewistown, IL 61542-1563 | 2009-01-07 |
| 1134139785 | Graham Hospital Association | Hospice Care, Community Based | 225 W Walnut St, Canton, IL 61520-2443 | 2006-08-08 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1841436268 | Graham Hospital Association | Family Medicine | 601 E Fort St, Farmington, IL 61531-1338 | 2009-01-07 |
| 1205072626 | Graham Hospital Association | Family Medicine | 180 S Main St, Canton, IL 61520-2608 | 2009-01-07 |
| 1740450998 | Graham Hospital Association | General Acute Care Hospital | 210 W Walnut St, Canton, IL 61520-2444 | 2008-03-04 |
| 1154518454 | Graham Hospital Association | Family Medicine | 114 S 4th St, Cuba, IL 61427-5062 | 2007-10-01 |
| 1134236748 | Graham Hospital Association | Skilled Nursing Facility | 210 W Walnut St, Canton, IL 61520-2444 | 2006-08-23 |
| Street Address |
1800 23RD AVE |
| City | AVON |
| State | IL |
| Zip Code | 61415-9126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831265313 | Tim L. Butler Dds PC | Dentist | 105 Washington Street, Avon, IL 61415-0379 | 2006-11-28 |
| 1063586444 | Timmie Lee Butler | Dentist | 105 East Washington Street, Avon, IL 61415-0379 | 2006-11-20 |
| 1700912243 | Suzanne V Chatterton | Speech-Language Pathologist | 4765 E County Highway 17, Avon, IL 61415-8879 | 2007-02-26 |
| 1093919771 | Avon Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 1790 23rd Ave, Avon, IL 61415-9105 | 2007-06-14 |
| 1194930263 | Cynthia J. Lock | Music Therapist | 1719 20th Ave, Avon, IL 61415-9108 | 2007-05-11 |
| 1639371198 | Avon Cud 176 | Local Education Agency (LEA) | 400 E Woods St, Avon, IL 61415-9417 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518950 | Mobile Foot Care Specialists, L.L.C. | Podiatrist | 38752 Renwood Ave, Avon, OH 44011-5229 | 2020-11-06 |
| 1417557026 | Genesis Campos | Social Worker | 35 Tower Ln Ste 202, Avon, CT 06001-4237 | 2020-11-01 |
| 1447859145 | Kristina Corn | Occupational Therapist | 856 Millbrook Dr, Avon, IN 46123-7454 | 2020-10-22 |
| 1497354310 | Smileez | Dentist | 1 Darling Dr, Avon, CT 06001-4277 | 2020-10-21 |
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1093322349 | Angela M Demchuk | Home Health Aide | 2735 Center Rd, Avon, OH 44011-1838 | 2020-09-29 |
| 1740897578 | Sierra Hinds | Student in an Organized Health Care Education/Training Program | 216 Commerce Dr, Avon, NY 14414-9784 | 2020-09-25 |
| 1467069377 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 38292 Colorado Ave, Avon, OH 44011-1002 | 2020-09-24 |
| 1437764339 | Kaitlin Mishel Ragan | Behavioral Analyst | 5250 E Us Highway 36 Ste 670, Avon, IN 46123-7867 | 2020-09-09 |
| Find all providers in AVON | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| 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.