HAMILTON MEMORIAL HOSPITAL DISTRICT (NPI# 1609837665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609837665 |
| Entity Type | Organization |
| Organization Name | HAMILTON MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | HAMILTON MEMORIAL FAMILY CLINIC |
| Practice Address |
611 S Marshall Avenue Mcleansboro IL 62859 |
| Mailing Address |
611 S Marshall Ave Po Box 429 Mc Leansboro IL 62859-1213 |
| Practice Telephone | 6186432361 |
| Practice Fax Number | 6186432875 |
| Mailing Telephone | 6186432361 |
| Mailing Fax Number | 6186432875 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | MRS. JACKIE K JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 6186432361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 000085 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HAMILTON MEMORIAL FAMILY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710943907 | Hamilton Memorial Hospital District | Home Health | 112 S Washington St, Mc Leansboro, IL 62859-1147 | 2006-04-25 |
| 1487013876 | Hamilton Memorial Hospital District | Nurse Practitioner | 208 S Washington St, Mc Leansboro, IL 62859-1139 | 2016-02-15 |
| 1588902183 | Hamilton Memorial Hospital District | Clinic/Center | 1112 Oak St, Ste 102, Carmi, IL 62821-1344 | 2013-01-17 |
| 1881890028 | Hamilton Memorial Hospital District | General Acute Care Hospital | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2007-06-25 |
| 1447257258 | Hamilton Memorial Hospital District | General Acute Care Hospital | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2005-07-07 |
| Street Address |
611 S MARSHALL AVENUE |
| City | MCLEANSBORO |
| State | IL |
| Zip Code | 62859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639598220 | Emily Knight | Speech-Language Pathologist | 10499 County Rd. 700 N., Mc Leansboro, IL 62859 | 2014-04-10 |
| 1235422130 | Hamilton Memorial Nursing and Rehabilitation Center, L.L.C. | Skilled Nursing Facility | 609 S Marshall Avenue, Mcleansboro, IL 62859 | 2011-05-25 |
| 1558673152 | Sai Prashanth Babu Palepu | Family Medicine | 611 South Marshall, Mcleansboro, IL 62859 | 2010-07-12 |
| 1831329416 | Nikki Diane Lynch | Occupational Therapy Assistant | Rr3 Box 108, Mcleansboro, IL 62859 | 2009-07-17 |
| 1952576639 | Rci Wrs Inc | Clinic/Center | 208 B South Washington Street, Mcleansboro, IL 62859 | 2008-04-24 |
| 1215110903 | Hamilton County Health Department | Clinic/Center | Courthouse Room 5, Mcleansboro, IL 62859 | 2007-12-17 |
| 1366504888 | Crossroads Physician Corp | Physician Assistant | 208 S Washington Street, Mcleansboro, IL 62859 | 2006-12-14 |
| 1033291034 | Brett Allen Watkins | Chiropractor | 301 S Jackson, Mcleansboro, IL 62859 | 2006-10-19 |
| 1437650116 | Deaconess Specialty Physicians, Inc | Internal Medicine | 206 S Washington St, Mc Leansboro, IL 62859 | 2018-02-27 |
| 1114216686 | Jefferson County Comprehensive Svc | Clinic/Center | Rr 5, Mcleansboro, IL 62859 | 2011-04-05 |
| Find all providers in zip 62859 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | MCLEANSBORO |
| Zip Code | 62859 |
Please comment or provide details below to improve the information on HAMILTON MEMORIAL HOSPITAL DISTRICT.
| 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.