IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME (NPI# 1578580346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578580346 |
Entity Type | Organization |
Organization Name | IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME |
Other Organization Name | IMH MILFORD CLINIC |
Practice Address |
34 E Jones St Milford IL 60953-1046 |
Practice Telephone | 8158894241 |
Practice Fax Number | 8158894244 |
Mailing Telephone | 8158894241 |
Mailing Fax Number | 8158894244 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-01-17 |
Authorized Official Name | TIMOTHY L SMITH (COO) |
Authorized Official Telephone | 8154327967 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BC/BS OF IL | 0003815085 | 01 |
Other Name | Type Code |
---|---|
IMH Milford Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992894802 | Iroquois Memorial Hospital and Resident Home | Skilled Nursing Facility | 200 E Fairman Avenue, Watseka, IL 60970-1644 | 2006-10-11 |
1467470906 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 303 N 7th St, Kentland, IN 47951-1379 | 2006-07-17 |
1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
1366447617 | Iroquois Memorial Hospital and Resident Home | Home Health | 200 Laird Ln, Watseka, IL 60970-7568 | 2005-06-14 |
1447610472 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 200 Laird Ln, Watseka, IL 60970-7568 | 2016-03-03 |
1285718478 | Iroquois Memorial Hospital and Resident Home | Medicare Defined Swing Bed Unit | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-10-24 |
1790889194 | Iroquois Memorial Hospital and Resident Home | Family Medicine | 200 Laird Ln, Watseka, IL 60970-7568 | 2006-09-07 |
1629003470 | Iroquois Memorial Hospital and Resident Home | Pharmacy | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-07-11 |
1841295763 | Iroquois Memorial Hospital and Resident Home | Hospice Care, Community Based | 200 Laird Ln, Iroquois Regional Health Center, Watseka, IL 60970-7568 | 2005-06-16 |
Street Address |
34 E JONES ST |
City | MILFORD |
State | IL |
Zip Code | 60953-1046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245713064 | Chelsea Lynnea Wichtner | Registered Nurse | 34 E Jones St, Milford, IL 60953-1046 | 2018-09-07 |
1154744282 | Shannon Haggard | Nurse Practitioner | 34 E Jones St, Milford, IL 60953-1046 | 2014-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619961737 | Theresa Lynn Crowder | Physician Assistant | 207 N Axtel Ave, Milford, IL 60953-1003 | 2005-09-02 |
1154461978 | Crisanto M Reyes | Internal Medicine | 207 N Axtel Ave, Milford, IL 60953-1003 | 2007-02-08 |
1356697312 | Connie C Catron | Nurse Practitioner | 322 N Chicago St, Hoopeston Community Memorial Hospital Dba Milford Medic, Milford, IL 60953-1012 | 2012-07-27 |
1598215683 | Iroquois Mental Health Center | Clinic/Center | 322 N Chicago St, Milford, IL 60953-1012 | 2016-10-12 |
1467820852 | Iroquois Mental Health Center | Community/Behavioral Health | 322 N Chicago St, Milford, IL 60953-1012 | 2015-09-02 |
1881735975 | Jeanne Laurette Vanhoveln | Pharmacy | 105 E Jones St, Milford, IL 60953-1047 | 2007-02-09 |
1578587333 | Jon Rugh Link | Chiropractor | 121 E Jones St, Milford, IL 60953-1047 | 2006-07-26 |
1750643599 | Energy Healing Systems Inc | Chiropractor | 121 E Jones St, Milford, IL 60953-1047 | 2012-06-07 |
1285809707 | Kelly Drugs | Pharmacy | 105 E Jones St, Milford, IL 60953-1047 | 2008-04-25 |
1003209743 | Kasey Alan Thrush | Specialist/Technologist | 507 E Irving St, Milford, IL 60953-1141 | 2015-03-05 |
Find all providers in zip 60953 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992059976 | Hoopeston Community Memorial Hospital | Clinic/Center | 322 N. Chicago Street, Milford, IL 60953-1409 | 2012-10-30 |
1205905320 | Memorial Health Care Systems | Clinic/Center | 119 S C St, Milford, NE 68405-1802 | 2006-11-06 |
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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 |
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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.