CGH MEDICAL CENTER (NPI# 1750752739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750752739 |
| Entity Type | Organization |
| Organization Name | CGH MEDICAL CENTER |
| Other Organization Name | CGHMC OUTPATIENT PHARMACY |
| Practice Address |
100 E Le Fevre Rd Sterling IL 61081-1278 |
| Mailing Address |
100 E Lefevre Rd Sterling IL 61081-1278 |
| Practice Telephone | 8155644633 |
| Practice Fax Number | 8156325949 |
| Mailing Telephone | 8155644633 |
| Mailing Fax Number | 8156325949 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | TIM DUNPHY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8155644633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
054017388 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155581 | 01 |
| Other Name | Type Code |
|---|---|
| CGHMC Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533828 | Cgh Medical Center | Home Health | 3010 E Lynn Blvd, Suite B, Sterling, IL 61081-1717 | 2006-06-07 |
| 1184661514 | Cgh Medical Center | Home Infusion | 3010 E. Lynn Blvd, Sterling, IL 61081 | 2006-06-02 |
| 1902854623 | Cgh Medical Center | Medicare Defined Swing Bed Unit | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-05 |
| 1386929826 | Cgh Medical Center | Durable Medical Equipment & Medical Supplies | 101 E Miller Rd, Sterling, IL 61081-1252 | 2011-10-17 |
| 1548540636 | Cgh Medical Center | Family Medicine | 101 E Miller Rd, Sterling, IL 61081-1252 | 2011-08-22 |
| 1447415724 | Cgh Medical Center | Durable Medical Equipment & Medical Supplies | 105 S Heaton St, Morrison, IL 61270-2007 | 2008-07-25 |
| 1902073521 | Cgh Medical Center | Ambulance | 100 E Lefevre Rd, Sterling, IL 61081-1278 | 2008-05-13 |
| 1629196688 | Cgh Medical Center | Durable Medical Equipment & Medical Supplies | 1321 N Galena Ave, Dixon, IL 61021-1009 | 2007-03-27 |
| 1720105448 | Cgh Medical Center | Durable Medical Equipment & Medical Supplies | 101 E Miller Rd, Sterling, IL 61081-1252 | 2007-03-26 |
| 1811014525 | Cgh Medical Center | Durable Medical Equipment & Medical Supplies | 10 W 3rd St, Sterling, IL 61081-3503 | 2007-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CGH MEDICAL CENTER | 100 E Le Fevre Rd, Sterling, IL 61081-1278 |
| Street Address |
100 E LE FEVRE RD |
| City | STERLING |
| State | IL |
| Zip Code | 61081-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902854623 | Cgh Medical Center | Medicare Defined Swing Bed Unit | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-05 |
| 1881183259 | Jesse Chiu | Nurse Anesthetist, Certified Registered | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2018-05-01 |
| 1720592595 | Landon Mouritsen | Registered Nurse | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2017-11-30 |
| 1619359940 | William Chaplin | Anesthesiology | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2015-06-23 |
| 1407241755 | Peter Lee Mills | Anesthesiology | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2015-04-03 |
| 1598980260 | Teresa Brunner Smith | Dietitian, Registered | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2007-04-16 |
| 1023063609 | Jamie Lee Baxter | Dietitian, Registered | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-23 |
| 1578516357 | Jose Libunao Jr. | Emergency Medicine | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-19 |
| 1821040650 | Divaker Kattar | Emergency Medicine | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-17 |
| 1346292034 | Virginia Heal | Nurse Practitioner | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1043736473 | Miranda Foster | Dentist | 415 Locus St, Ste A, Sterling, IL 61081 | 2017-08-17 |
| 1740614320 | Wesley Alfred Vermies | Pharmacist | 2901 E. Fourth St, Sterling, IL 61081 | 2013-08-30 |
| 1285974311 | Occupational Health Services 1 | Clinic/Center | 4204 E Lincolnway Ave., Suite D, Sterling, IL 61081 | 2013-02-27 |
| 1912259185 | James S. Ferris, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 2000 N Locust St Ste. B, Sterling, IL 61081 | 2012-10-11 |
| 1801148127 | Sauk Valley Physical Therapy, Inc. | Clinic/Center | 4204 E Lincolnway Ave, Suite D, Sterling, IL 61081 | 2012-10-10 |
| 1447534938 | Kayla Elizabeth Roth | Physical Therapist | 4204 East Lincolnway Avenue, Suite D, Sterling, IL 61081 | 2011-10-04 |
| 1912217951 | Ajay Katiyar | Optometrist | 4304 E Lincolnway Ave, Sterling, IL 61081 | 2010-10-08 |
| 1083851000 | Donald Francis Kurten | Dentist | 2000 N. Locust, Suite D, Sterling, IL 61081 | 2009-01-13 |
| 1841462306 | Steven Eric Carlson | Chiropractor | 2317 E Lincolnway Ste B, Sterling, IL 61081 | 2008-03-25 |
| Find all providers in zip 61081 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447783915 | Bienestar Pharmacy IIi, Inc | Pharmacy | 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 | 2017-04-11 |
| 1851639371 | Health Delivery Management, LLC | Pharmacy | 430 Warrenville Road, Lisle, IL 60532 | 2013-01-17 |
| 1821239419 | Lehan Drugs Inc | Pharmacy | 1850 Gateway Dr. Suite A, Sycamore, IL 60178 | 2009-03-12 |
| 1760656987 | Mtm Services | Pharmacy | 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 | 2008-04-18 |
| 1023137528 | John H Stroger Jr. Hospital Pharmacy of Cook County | Pharmacy | 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 | 2007-03-28 |
| 1588781298 | Cook County | Pharmacy | 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 | 2007-03-26 |
| 1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
| 1982791240 | Weber Medical Clinic Ltd | Pharmacy | 1200 N East Street, Olney, IL 62450-2499 | 2006-10-06 |
| 1093818148 | Altgeld Garden Drug Co. | Pharmacy | 974 E 133rd St, Chicago, IL 60827-1428 | 2006-09-06 |
| 1649270125 | American Pharmacy Inc | Pharmacy | 2200 W Roosevelt Rd, Broadview, IL 60155-3888 | 2005-07-27 |
| Find all providers with the same taxonomy | ||||
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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.