KATHERINE SHAW BETHEA HOSPITAL (NPI# 1770578395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770578395 |
| Entity Type | Organization |
| Organization Name | KATHERINE SHAW BETHEA HOSPITAL |
| Practice Address |
403 E 1st St Dixon IL 61021-3116 |
| Practice Telephone | 8152885531 |
| Mailing Telephone | 8152885531 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VERNON FARRELL (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 8152855511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | 0000497 | IL | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 05215223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043546 | Katherine Shaw Bethea Hospital | General Acute Care Hospital | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-14 |
| 1912404765 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-09 |
| 1497281620 | Katherine Shaw Bethea Hospital | Pharmacy | 403 E 1st St, Dixon, IL 61021-3116 | 2017-05-09 |
| 1962600072 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2007-07-10 |
| 1205031721 | Katherine Shaw Bethea Hospital | Hospice Care, Community Based | 101 W 2nd St, Suite 203, Dixon, IL 61021-3076 | 2007-06-15 |
| 1811987134 | Katherine Shaw Bethea Hospital | Home Health | 101 W 2nd St, Suite 203, Dixon, IL 61021-3076 | 2005-10-27 |
| 1023003720 | Katherine Shaw Bethea Hospital | Psychiatric Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-19 |
| Street Address |
403 E 1ST ST |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043546 | Katherine Shaw Bethea Hospital | General Acute Care Hospital | 403 E 1st St, Dixon, IL 61021-3116 | 2005-09-14 |
| 1063029247 | Valarie Pfoutz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-30 |
| 1639786288 | Stephanie Marie Berlin | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1639786270 | Marissa Leigh Frost | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
| 1588270797 | Tiffany L Hummel | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-22 |
| 1811513641 | Beth Barbara Reittinger | Podiatrist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-06-17 |
| 1205458528 | Andres David Arellano | Physical Therapist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-05-08 |
| 1144856667 | Connor Skoumal | Physical Therapist | 403 E 1st St, Dixon, IL 61021-3116 | 2020-03-16 |
| 1760022180 | Chris A Herbert | Emergency Medicine | 403 E 1st St, Dixon, IL 61021-3187 | 2020-01-14 |
| 1508414756 | Ann C Lee | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265974174 | Eric Russell Linton I | Personal Emergency Response Attendant | 23 Holmes Cir, Chester, IL 62233-1247 | 2016-11-09 |
| 1245317809 | Warren D Winston | Personal Emergency Response Attendant | 231 S Jackson St, Pittsfield, IL 62363-1925 | 2006-11-01 |
| 1386724219 | John E Mcconnell | Personal Emergency Response Attendant | 1983 N. Mannheim Road, Melrose Park, IL 60160 | 2006-10-16 |
| 1487768552 | Kenji Oyasu | Personal Emergency Response Attendant | 1324 N Sheridan Rd Dept Of, Waukegan, IL 60085 | 2006-08-18 |
| 1730157322 | William C Mccabe | Personal Emergency Response Attendant | 1702 E 6th St, Coal Valley, IL 61240-9145 | 2006-03-09 |
| 1487638920 | Sheldon Lo | Personal Emergency Response Attendant | 3008 S Halsted St, Suite 116, Chicago, IL 60608-5805 | 2005-11-29 |
| 1548596711 | Kristin Michelle Daugherty | Personal Emergency Response Attendant | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2009-10-23 |
| 1336320860 | James Alan Mccombs | Personal Emergency Response Attendant | 1653 W Congress Pkwy, 177 Murdock, Chicago, IL 60612-3833 | 2007-11-27 |
| 1336342674 | Linda Carol Lynch | Personal Emergency Response Attendant | 500 E 51st St, Chicago, IL 60615-2400 | 2007-06-06 |
| 1023223310 | Amee Patel | Personal Emergency Response Attendant | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2007-05-11 |
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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.