LAWRENCE COUNTY MEMORIAL HOSPITAL (NPI# 1629177910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629177910 |
| Entity Type | Organization |
| Organization Name | LAWRENCE COUNTY MEMORIAL HOSPITAL |
| Practice Address |
2200 State St Lawrenceville IL 62439-1852 |
| Practice Telephone | 6189437249 |
| Practice Fax Number | 6189437223 |
| Mailing Telephone | 6189437249 |
| Mailing Fax Number | 6189437223 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | GERALD H KLEIN (CFO) |
| Authorized Official Telephone | 6189437202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 55215 | IL | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1811183692 | Lawrence County Memorial Hospital | Clinic/Center | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-09-14 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1215037635 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
| 1881643401 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAWRENCE COUNTY MEMORIAL HOSPITAL | 2200 State St, Lawrenceville, IL 62439-1852 |
| Street Address |
2200 STATE ST |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723247 | Timothy R Williams | Anesthesiology | 2200 State St, Lawrenceville, IL 62439-1852 | 2005-07-12 |
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1972707792 | Mark E Kennedy | Nurse Anesthetist, Certified Registered | 2200 State St, Lawrenceville, IL 62439-1852 | 2007-06-14 |
| 1326136383 | Midwest Ultrasound Services, Inc. | Spec/Tech, Cardiovascular | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-10-11 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1215037635 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790098531 | Genesis 7 Transport | Ambulance | 662 Sonoma Dr, Lawrenceville, GA 30045-7824 | 2010-07-21 |
| 1073747697 | Code 3 Medical Transport | Ambulance | 938 Ashton Park Drive Se, Lawrenceville, GA 30045 | 2009-05-11 |
| 1316052566 | Gwinnett County Board of Commissioners | Ambulance | 408 Hurricane Shoals Rd Ne, Lawrenceville, GA 30046-4406 | 2006-08-20 |
| 1952390726 | Brunswick Volunteer Rescue Squad Inc | Ambulance | 1458 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3302 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980058 | Ivan V Knight | Ambulance | 322 Campbell Ave, Calumet City, IL 60409-2011 | 2020-10-19 |
| 1366064057 | Morris Fire & Ambulance Protection District | Ambulance | 2301 Ashton Rd, Morris, IL 60450-8615 | 2020-05-15 |
| 1821624966 | Covenant Health Ambulance Service, Inc | Ambulance | 1619b Weid Rd, Elgin, IL 60123-5825 | 2020-03-20 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1831668458 | Midway Ems | Ambulance | 5155 Torque Rd # B, Loves Park, IL 61111-7144 | 2018-11-14 |
| 1336637248 | Paramedic Services of Illinois, Inc. | Ambulance | 1222 W. Veterans Parkway, Yorkville, IL 60560-4728 | 2018-04-26 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1891293288 | Hamel Fire Protection District | Ambulance | 401 N Old Us Route 66, Hamel, IL 62046-1071 | 2018-01-31 |
| 1144761503 | Ah, LLC | Ambulance | 741 N Main St, Manteno, IL 60950-1254 | 2017-03-17 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
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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.