COMMUNITY MEDICAL CENTER OF WESTERN IL INC (NPI# 1568441475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568441475 |
Entity Type | Organization |
Organization Name | COMMUNITY MEDICAL CENTER OF WESTERN IL INC |
Practice Address |
1000 W Harlem Ave Monmouth IL 61462-1007 |
Practice Telephone | 3097343141 |
Practice Fax Number | 3097343029 |
Mailing Telephone | 3097343141 |
Mailing Fax Number | 3097343029 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. BRETT L STAHL (PROJECTS COORDINATOR) |
Authorized Official Telephone | 3097341431 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
00429 | IL | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265432363 | Community Medical Center of Western Il Inc | Home Health | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2005-07-29 |
1992783138 | Community Medical Center of Western Il Inc | Clinic/Center | 1000 W Harlem Ave, Monmouth, IL 61462-1099 | 2006-01-06 |
1215914122 | Community Medical Center of Western Il Inc | Nurse Anesthetist, Certified Registered | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-30 |
1861479776 | Community Medical Center of Western Il Inc | Medicare Defined Swing Bed Unit | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-30 |
Street Address |
1000 W HARLEM AVE |
City | MONMOUTH |
State | IL |
Zip Code | 61462-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265432363 | Community Medical Center of Western Il Inc | Home Health | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2005-07-29 |
1285253997 | Catherine Jane Steck | Physical Therapist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2020-04-13 |
1205482254 | Tonya Renee Gibbs | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-08-15 |
1285193441 | Carrie Anne Green | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-03-18 |
1700399516 | Osf Healthcare System | Emergency Medicine | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2017-11-15 |
1508396045 | Tina Gayle Canada | Registered Nurse | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2017-06-18 |
1972058063 | Nancy J Nelson-beliveau | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2016-08-18 |
1477964880 | Michael Raymond | Counselor | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2014-05-20 |
1972739548 | Sheila Raedine Feaster | Podiatrist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2009-06-09 |
1871763458 | Dr Byung Il Hyun Md | Radiology | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2008-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
1518413103 | Daniel Chard | Emergency Medical Technician, Basic | 331 S. 6th St, Monmouth, IL 61462 | 2016-09-01 |
1174079388 | Patrick Spears | Emergency Medical Technician, Paramedic | 601 Industrial Park Road, Monmouth, IL 61462 | 2016-08-28 |
1326222993 | Terri Lynn Gittings | Registered Nurse | Industrial Park Road, Bridgeway Inc, Monmouth, IL 61462 | 2007-12-19 |
1811011422 | Hancock Mcdonough Roe 21 | Local Education Agency (LEA) | 1301 N Main, Ste 3, Monmouth, IL 61462 | 2007-03-19 |
1295870137 | Warren Achievement Center Inc | Case Management | 1220 East Second Avenue, Monmouth, IL 61462 | 2007-02-20 |
1265527931 | Petersen Health Systems, Ins | Assisted Living Facility | 1 Courtyard Blvd, Monmouth, IL 61462-1086 | 2006-10-04 |
1881759678 | Clyde Don Elswick | Registered Nurse | 1000 West Harlem Avenue, Monmouth, IL 61462-1099 | 2006-12-22 |
1447239728 | Community Medical Center of Western Illinois Inc | Skilled Nursing Facility | 1000 W Harlem Avenue, Monmouth, IL 61462-1099 | 2006-01-13 |
1023095437 | Community Medical Center of Western Illinois Inc | Clinic/Center | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-28 |
Find all providers in zip 61462 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548393184 | Osf Healthcare System | General Acute Care Hospital | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144846353 | Express Care, LLC | General Acute Care Hospital | 11 E Adams St Ste 1100, Chicago, IL 60603-6315 | 2020-06-23 |
1508152745 | Medical Connections | General Acute Care Hospital | 25749 Sunnymere Dr, Plainfield, IL 60585-1290 | 2011-06-27 |
1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
1578885182 | Hillsboro Area Hospital | General Acute Care Hospital | 120 W Saint John St, Ste 2, Litchfield, IL 62056-2169 | 2010-02-23 |
1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
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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.