DECATUR MEMORIAL HOSPITAL (NPI# 1720172307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720172307 |
| Entity Type | Organization |
| Organization Name | DECATUR MEMORIAL HOSPITAL |
| Other Organization Name | DMH HOME HEALTH SERVICES - HOSPICE |
| Practice Address |
2870 N Main St Decatur IL 62526-3234 |
| Mailing Address |
2300 N. Edward Decatur IL 62526 |
| Practice Telephone | 2178766770 |
| Practice Fax Number | 2178766773 |
| Mailing Telephone | 2178762264 |
| Mailing Fax Number | 2178762261 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | MR. DEBRA L BRAGG (VP OF FINANCE) |
| Authorized Official Telephone | 2178762107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2000354 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| DMH Home Health Services - Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184751273 | Decatur Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2875 N Water St, Decatur, IL 62526-4233 | 2007-02-27 |
| 1548357973 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N. Edward St., Decatur, IL 62526 | 2006-10-06 |
| 1386020402 | Decatur Memorial Hospital | Psychiatric Unit | 2300 N Edward St, Decatur, IL 62526-4163 | 2015-07-31 |
| 1598094153 | Decatur Memorial Hospital | Internal Medicine | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 | 2009-12-10 |
| 1942352273 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward St, Decatur, IL 62526-4163 | 2007-01-17 |
| 1881781342 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward, Decatur, IL 62526 | 2006-10-06 |
| 1437246865 | Decatur Memorial Hospital | Durable Medical Equipment & Medical Supplies | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2006-10-06 |
| 1588751234 | Decatur Memorial Hospital | Home Health | 2870 N Main St, Decatur Memorial Home Care, Decatur, IL 62526-3234 | 2006-10-06 |
| 1164477725 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 | 2006-05-23 |
| 1639134117 | Decatur Memorial Hospital | Clinic/Center | 2300 N Edward St, Decatur, IL 62526-4163 | 2006-04-19 |
| Street Address |
2870 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720591 | Richard Charles Lohr | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2006-09-15 |
| 1427324003 | R N Enterprises, Inc | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2012-03-28 |
| 1356649537 | Robin Renee Niehaus | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2011-03-11 |
| 1053616656 | Elitecare Center, LLC | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2011-01-13 |
| 1427263573 | Elitecare Center, LLC | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2007-05-11 |
| 1457449134 | Practice Management Associates LLC | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2006-10-10 |
| 1588751234 | Decatur Memorial Hospital | Home Health | 2870 N Main St, Decatur Memorial Home Care, Decatur, IL 62526-3234 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211284 | Angel Heart Hospice and Palliative Care | Hospice Care, Community Based | 3706 Manhattan Dr, Decatur, GA 30034-6111 | 2020-03-25 |
| 1497392534 | Seva Hospice, LLC | Hospice Care, Community Based | 3845 N Druid Hills Rd Ste 307, Decatur, GA 30033-3000 | 2019-12-09 |
| 1043671738 | Loving Arms Hospice Inc. | Hospice Care, Community Based | 4919 Flat Shoals Pkwy Ste 108, Decatur, GA 30034-5257 | 2016-03-09 |
| 1508136862 | Countryside Hospice Care, Inc. | Hospice Care, Community Based | 801 Church Street Ne, Suites 6 and 7, Decatur, GA 35601-2400 | 2012-01-04 |
| 1992960264 | Alliance Hospice LLC | Hospice Care, Community Based | 2560 E Federal Dr, Suite 707, Decatur, IL 62526-5900 | 2008-07-25 |
| 1770772089 | Rem-kiks Hospice Services, LLC | Hospice Care, Community Based | 4292 Memorial Dr, Suite B, Decatur, GA 30032-1224 | 2007-10-23 |
| 1083651525 | Aseracare Hospice - Russellville, LLC | Hospice Care, Community Based | 432 Moulton St E, Decatur, AL 35601-3002 | 2006-06-01 |
| 1245282672 | Bamah Hospice Usa, Inc | Hospice Care, Community Based | 807 2nd Ave Se, C, Decatur, AL 35601-2542 | 2006-05-16 |
| 1235189291 | Seyah Hospice of Georgia, LLC | Hospice Care, Community Based | 506 Ladson Ct, Decatur, GA 30033-5379 | 2006-05-11 |
| 1811978893 | Hospice of The Valley, Inc. | Hospice Care, Community Based | 240 Johnston St Se, Decatur, AL 35601-2516 | 2005-11-08 |
| Find all providers in DECATUR | ||||
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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.