MENDOTA COMMUNITY HOSPITAL (NPI# 1578598751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578598751 |
| Entity Type | Organization |
| Organization Name | MENDOTA COMMUNITY HOSPITAL |
| Other Organization Name | MCH DME |
| Practice Address |
1401 East 12th Street Mendota IL 61342-9216 |
| Practice Telephone | 8155397461 |
| Practice Fax Number | 8155385516 |
| Mailing Telephone | 8155397461 |
| Mailing Fax Number | 8155385516 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | MRS. LYNN E KLEIN (CEO) |
| Authorized Official Telephone | 8155397461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 0001537 | IL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0001537 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| MCH DME | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1609803113 | Mendota Community Hospital | General Acute Care Hospital | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-06-28 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
| 1376673087 | Mendota Community Hospital | Prosthetic/Orthotic Supplier | 1401 East 12th Street, Mendota, IL 61342-9216 | 2007-03-06 |
| 1962537498 | Mendota Community Hospital | General Acute Care Hospital | 1401 East 12th Street, Mendota, IL 61342-9216 | 2007-02-23 |
| 1417973900 | Mendota Community Hospital | Emergency Medicine | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-15 |
| 1407872997 | Mendota Community Hospital | Orthopaedic Surgery | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-15 |
| 1922024843 | Mendota Community Hospital | Medicare Defined Swing Bed Unit | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-14 |
| 1952336323 | Mendota Community Hospital | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-12 |
| Street Address |
1401 EAST 12TH STREET |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609803113 | Mendota Community Hospital | General Acute Care Hospital | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-06-28 |
| 1376673087 | Mendota Community Hospital | Prosthetic/Orthotic Supplier | 1401 East 12th Street, Mendota, IL 61342-9216 | 2007-03-06 |
| 1962537498 | Mendota Community Hospital | General Acute Care Hospital | 1401 East 12th Street, Mendota, IL 61342-9216 | 2007-02-23 |
| 1912009887 | James F Meyer | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-09-02 |
| 1114931276 | Kenneth J. Beggs | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-27 |
| 1316960404 | Kenneth K Potts | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-26 |
| 1417973900 | Mendota Community Hospital | Emergency Medicine | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-15 |
| 1407872997 | Mendota Community Hospital | Orthopaedic Surgery | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-15 |
| 1922024843 | Mendota Community Hospital | Medicare Defined Swing Bed Unit | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-14 |
| 1952336323 | Mendota Community Hospital | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| Find all providers in zip 61342 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881780757 | Pharmkee, Inc. | Durable Medical Equipment & Medical Supplies | 497 Oller St, Mendota, CA 93640-2312 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
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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.