HSHS GOOD SHEPHERD HOSPITAL, INC (NPI# 1750350922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750350922 |
Entity Type | Organization |
Organization Name | HSHS GOOD SHEPHERD HOSPITAL, INC |
Other Organization Name | FAMILY HEALTHCARE CENTER |
Practice Address |
200 S Cedar St Shelbyville IL 62565-1838 |
Practice Telephone | 2177743961 |
Practice Fax Number | 2177745100 |
Mailing Telephone | 2177743961 |
Mailing Fax Number | 2177745713 |
Enumeration Date | 2006-03-17 |
Last Update Date | 2019-01-31 |
Authorized Official Name | AARON PUCHBAUER (PRESIDENT & CEO) |
Authorized Official Telephone | 2177743961 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
FAMILY HEALTHCARE CENTER | Other Name - Individual/Organization |
Street Address |
200 S CEDAR ST |
City | SHELBYVILLE |
State | IL |
Zip Code | 62565-1838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659855872 | Andrew Kirkley | Hospitalist | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2018-09-24 |
1932686326 | Emily Marie Nosbisch | Nurse Practitioner | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2018-07-27 |
1235677626 | Hshs Good Shephard Hospital | General Acute Care Hospital | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2017-02-06 |
1295280790 | Kristina Lee Berg | Nurse Practitioner | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2016-08-25 |
1689008591 | Billie J Toland | Physician Assistant | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2013-08-27 |
1437405123 | Sarah Thoele | Physical Therapist | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2012-07-31 |
1932489994 | Leann Thiele Rhinehart | Nurse Practitioner | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2011-08-23 |
1407147572 | Shelle D Sloan | Nurse Practitioner | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2011-04-25 |
1871800417 | Michelle Anne Mcclain | Physical Therapist | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2010-09-02 |
1699915348 | Illinois Emergency Staffing Solutions, Inc. | Emergency Medicine | 200 S Cedar St, Shelbyville, IL 62565-1838 | 2009-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003463530 | Ethan Turner | Physical Therapist | 2100 W. South 3rd, Shelbyville, IL 62565 | 2019-08-20 |
1467963512 | Marnelle Kathryn Oligschlaeger | Speech-Language Pathologist | 1101 Wn 6th St, Shelbyville, IL 62565 | 2017-10-17 |
1326290214 | Brown Dental Care Ltd | Dentist | 101 W N 1st, Shelbyvile, IL 62565 | 2008-10-22 |
1639396898 | Aaron Bryce Snyder | Chiropractor | 504 Rt. 128, Shelbyville, IL 62565 | 2007-04-19 |
1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
1790875805 | Brian L Hastings | Dentist | 101 S Vine, Suite 2, Shelbyville, IL 62565 | 2006-10-13 |
1598852345 | Dennis Fisher | Massage Therapist | 112 North Broadway Street, Shelbyville, IL 62565 | 2006-10-05 |
1255434866 | Katherine Lynn Harley | Chiropractor | 1117 W North First St, Shelbyville, IL 62565 | 2006-09-07 |
1013029933 | Renal Therapies LLC | Clinic/Center | 410 S. Heinlein Dr., Shelbyville, IL 62565 | 2006-08-31 |
Find all providers in zip 62565 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
1932708658 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2020-10-23 |
1689273344 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 1401 Madison St, Shelbyville, TN 37160-3629 | 2020-10-22 |
1952900862 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 1612 N Main St Ste B, Shelbyville, TN 37160-2392 | 2020-10-21 |
1912552258 | Baptist Health Medical Group Inc | Clinic/Center | 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065-8143 | 2019-08-05 |
1346895844 | Baptist Health Medical Group Inc | Clinic/Center | 101 Stonecrest Rd, Shelbyville, KY 40065-8169 | 2019-08-02 |
1811406531 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176-8581 | 2017-09-26 |
1558870279 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-09-26 |
1144748039 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste B, Shelbyville, TN 37160-2392 | 2017-08-31 |
Find all providers in SHELBYVILLE |
City | SHELBYVILLE |
Zip Code | 62565 |
Please comment or provide details below to improve the information on HSHS GOOD SHEPHERD HOSPITAL, INC.
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.