PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK (NPI# 1629020086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629020086 |
| Entity Type | Organization |
| Organization Name | PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK |
| Other Organization Name | PRESENCE COVENANT MEDICAL CENTER |
| Practice Address |
1400 W Park St Urbana IL 61801-9901 |
| Practice Telephone | 2174435000 |
| Practice Fax Number | 2474772761 |
| Mailing Telephone | 2174435000 |
| Mailing Fax Number | 2474772761 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | PAULA CAMPBELL (SYSTEM FINANCE OFFICER) |
| Authorized Official Telephone | 3123083981 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0004861 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200475020A | 05 | |
| NV | 1000508360 | 05 | |
| LA | 1708721 | 05 |
| Other Name | Type Code |
|---|---|
| Presence Covenant Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205160751 | Presence Central and Suburban Hospitals Network | Neurological Surgery | 301 N. Madison St., Suite 300, Joliet, IL 60435 | 2009-09-30 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1861596595 | Presence Central and Suburban Hospitals Network | Ambulance | 408 S Neil St, Champaign, IL 61820-5218 | 2006-09-12 |
| 1427000884 | Presence Central and Suburban Hospitals Network | General Acute Care Hospital | 812 North Logan Ave, Danville, IL 61832-3752 | 2006-05-16 |
| 1760868871 | Presence Central and Suburban Hospitals Network | Surgery | 333 Madison St, Joliet, IL 60435-8200 | 2015-07-31 |
| 1447596630 | Presence Central and Suburban Hospitals Network | Pediatrics | 333 N. Madison St., Joliet, IL 60435 | 2012-12-17 |
| 1336299544 | Presence Central and Suburban Hospitals Network | Clinic/Center | 500 W Court St, Kankakee, IL 60901-3661 | 2007-01-11 |
| 1124189733 | Presence Central and Suburban Hospitals Network | Rehabilitation Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-13 |
| 1487715645 | Presence Central and Suburban Hospitals Network | General Acute Care Hospital | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-12 |
| 1336215482 | Presence Central and Suburban Hospitals Network | Rehabilitation Unit | 77 N Airlite St, Elgin, IL 60123-4912 | 2006-11-28 |
| Street Address |
1400 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-9901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801862461 | Shamim Sadiq | Internal Medicine | 1400 W Park St, Urbana, IL 61801-2334 | 2006-02-24 |
| 1548873938 | Audra Leigh Cisna | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-08-26 |
| 1689200750 | Holly Tompkins | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-03-20 |
| 1417419045 | Latifa Omran | Technician/Technologist | 1400 W Park St, Urbana, IL 61801-2334 | 2019-04-02 |
| 1588134084 | Lauren Dowd | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801 | 2018-11-28 |
| 1053801514 | Sarah Kristine Farison | Speech-Language Pathologist | 1400 W Park St, Urbana, IL 61801-2334 | 2018-05-10 |
| 1316437882 | Tian Lan | Physical Therapist | 1400 W Park St, Urbana, IL 61801-2334 | 2018-05-10 |
| 1659884476 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1093228835 | Osf Healthcare System | Ambulance | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1649783473 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649588443 | Carle Foundation Hospital | General Acute Care Hospital | 602 W. University Ave., Urbana, IL 61801 | 2010-09-15 |
| 1659884476 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1649783473 | Osf Healthcare System | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801 | 2017-11-15 |
| 1285049072 | Carle Hospital | General Acute Care Hospital | 611 W Park St, Urbana, IL 61801-2529 | 2014-07-01 |
| 1033467857 | University of Illinois College of Medicine | General Acute Care Hospital | 611 W Park St, Carle Forum, Ll, Urbana, IL 61801-2500 | 2012-08-28 |
| 1275817249 | University of Illinois | General Acute Care Hospital | 611 W Park St, Carle Forum, Urbana, IL 61801-2500 | 2011-10-07 |
| 1558690198 | Carle Foundation Hospital | General Acute Care Hospital | 602 W University Ave, Urbana, IL 61801-2530 | 2009-12-10 |
| 1205002185 | University of Illinois | General Acute Care Hospital | 611 W Park St, Carle Forum Lower Level, Urbana, IL 61801-2500 | 2008-05-01 |
| 1457568420 | Mercy Medical Associates, LLC | General Acute Care Hospital | 900 Scioto St, Mercy Medical Building Suite 1, Urbana, OH 43078-2251 | 2007-05-17 |
| 1275585663 | Presence Central and Suburban Hospitals Network | General Acute Care Hospital | 1400 W Park St, Urbana, IL 61801-9901 | 2006-05-16 |
| Find all providers in URBANA | ||||
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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.