KEWANEE HOSPITAL (NPI# 1598797193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598797193 |
| Entity Type | Organization |
| Organization Name | KEWANEE HOSPITAL |
| Other Organization Name | KEWANEE HOSPITAL FAMILY HEALTH CLINIC |
| Practice Address |
1051 W South St Kewanee IL 61443-9983 |
| Mailing Address |
P.o. Box 747 1051 W South Street Kewanee IL 61443-9983 |
| Practice Telephone | 3098527500 |
| Practice Fax Number | 3098527591 |
| Mailing Telephone | 3098527500 |
| Mailing Fax Number | 3098527591 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | MR. JOHN BOWSER (CFO) |
| Authorized Official Telephone | 3098527522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0005538 | IL | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0005538 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kewanee Hospital Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245337658 | Kewanee Hospital | Durable Medical Equipment & Medical Supplies | 125 N Tremont St, Kewanee, IL 61443-2231 | 2006-09-20 |
| 1821191321 | Kewanee Hospital | General Acute Care Hospital | 1051 W South Street, Kewanee, IL 61443-9983 | 2006-09-07 |
| 1154644367 | Kewanee Hospital | Rehabilitation Unit | 1051 W South St, Kewanee, IL 61443-8354 | 2010-03-03 |
| 1255654430 | Kewanee Hospital | Rehabilitation Unit | 1051 W South St, Kewanee, IL 61443-8354 | 2010-03-02 |
| 1558514984 | Kewanee Hospital | Dietitian, Registered | 1051 W South St, Kewanee, IL 61443-8354 | 2008-10-29 |
| 1578659009 | Kewanee Hospital | Hospice Care, Community Based | 1051 W South St, Kewanee, IL 61443-8354 | 2006-10-04 |
| 1821184359 | Kewanee Hospital | Home Health | 1051 W South St, Kewanee, IL 61443-8354 | 2006-10-04 |
| 1265532980 | Kewanee Hospital | Medicare Defined Swing Bed Unit | 1051 W South Street, Kewanee, IL 61443-9983 | 2006-09-23 |
| Street Address |
1051 W SOUTH ST |
| City | KEWANEE |
| State | IL |
| Zip Code | 61443-9983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989917 | Leslie N Bowser | Nurse Practitioner | 1051 W South St, Kewanee, IL 61443-8354 | 2019-12-13 |
| 1861964579 | Whitney Gray Carton | Physical Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2018-12-19 |
| 1023528809 | Sara Suzanne Umphfleet | Dietitian, Registered | 1051 W South St, Kewanee, IL 61443-8354 | 2017-10-05 |
| 1992240550 | Michelle Moe | Physical Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2017-01-05 |
| 1770031346 | Sarah Cebula | Social Worker | 1051 W South St, Kewanee, IL 61443-8354 | 2016-09-13 |
| 1851846109 | Brenda L Wager | Nurse Practitioner | 1051 W South St, Kewanee, IL 61443-8354 | 2016-08-16 |
| 1598124109 | Meghan Weber | Nurse Practitioner | 1051 W South St, Kewanee, IL 61443-8354 | 2016-02-11 |
| 1467866673 | Hayley Ralph | Family Medicine | 1051 W South St, Kewanee, IL 61443 | 2014-06-16 |
| 1932526621 | Osf Healthcare System | Anesthesiology | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-20 |
| 1427475177 | Osf Healthcare System | Clinic/Center | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013453471 | Kelly Neirynck | Licensed Practical Nurse | 420 E Mill St, Kewanee, IL 61443 | 2017-01-10 |
| 1275760456 | Daniel P. Congreve | Surgery | 1051 West South Street, Kewanee, IL 61443 | 2009-06-16 |
| 1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
| 1114112265 | Carla Greby | Internal Medicine | 2021 Kentville Rd, Iyc Kewanee, Kewanee, IL 61443 | 2007-09-12 |
| 1740362979 | Petersen Health Systems, Inc | Assisted Living Facility | 808 Sunset Drive, Kewanee, IL 61443 | 2006-10-19 |
| 1902993652 | Kerry Howard Head | Optometrist | 730 Tenney Street, Kewanee, IL 61443 | 2006-10-06 |
| 1205927464 | Gordon M Pointer | Chiropractor | 627 East 2nd St, Kewanee, IL 61443 | 2006-09-27 |
| 1699887729 | Stephen L Rider | Dentist | 125 West South Street, Suite #10, Kewanee, IL 61443 | 2006-08-31 |
| 1336153121 | Kelli E Rashid | Occupational Therapist | 125 South Street, Suite B, Kewanee, IL 61443 | 2006-07-28 |
| 1740247394 | Jon A Debord | Physical Therapist | 125 South St, Suite B, Kewanne, IL 61443 | 2006-04-27 |
| Find all providers in zip 61443 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 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.