MCDONOUGH COUNTY HOSPITAL DISTRICT (NPI# 1770100414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770100414 |
| Entity Type | Organization |
| Organization Name | MCDONOUGH COUNTY HOSPITAL DISTRICT |
| Other Organization Name | MDH PEDIATRIC CLINIC |
| Practice Address |
505 E Grant St Ste 202 Macomb IL 61455-3373 |
| Mailing Address |
Po Box 1179 Macomb IL 61455-5579 |
| Practice Telephone | 3098331729 |
| Practice Fax Number | 3098361779 |
| Mailing Telephone | 3098361524 |
| Mailing Fax Number | 3098361525 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | WILLIAM MURDOCK (CFO) |
| Authorized Official Telephone | 5632443511 |
| 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 |
|---|---|
| MDH Pediatric Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841386190 | Mcdonough County Hospital District | Skilled Nursing Facility | 525 E. Grant, Macomb, IL 61455-3313 | 2006-10-05 |
| 1235755372 | Mcdonough County Hospital District | Clinic/Center | 515 E Grant St Ste 213, Macomb, IL 61455-3378 | 2020-06-24 |
| 1780192013 | Mcdonough County Hospital District | Podiatrist | 437 E Grant St, Macomb, IL 61455-3311 | 2018-01-22 |
| 1770974909 | Mcdonough County Hospital District | Psychiatric Unit | 525 E Grant St, Macomb, IL 61455-3313 | 2015-02-10 |
| 1851705370 | Mcdonough County Hospital District | General Acute Care Hospital | 525 E Grant St, Macomb, IL 61455-3313 | 2014-06-12 |
| 1881032985 | Mcdonough County Hospital District | Otolaryngology | 515 E Grant St, Macomb, IL 61455-3368 | 2013-06-11 |
| 1992041511 | Mcdonough County Hospital District | Family Medicine | 155 W Hail St, Bushnell, IL 61422-1346 | 2012-12-31 |
| 1356698310 | Mcdonough County Hospital District | Pediatrics | 505 E Grant St, Suite 202, Macomb, IL 61455-3352 | 2012-08-09 |
| 1093083511 | Mcdonough County Hospital District | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2011-12-12 |
| 1336436765 | Mcdonough County Hospital District | Clinic/Center | 1600 E Jackson St, Macomb, IL 61455-2530 | 2011-07-06 |
| Street Address |
505 E GRANT ST STE 202 |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518036979 | Richard Earl Minter | Family Medicine | 505 E Grant St Ste 202, Macomb, IL 61455-3373 | 2006-11-07 |
| 1831212901 | Julie Marie Bartlow | Nurse Practitioner | 505 E Grant St Ste 202, Macomb, IL 61455-3373 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755372 | Mcdonough County Hospital District | Clinic/Center | 515 E Grant St Ste 213, Macomb, IL 61455-3378 | 2020-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| 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.