INGALLS MEMORIAL HOSPITAL (NPI# 1801132105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801132105 |
| Entity Type | Organization |
| Organization Name | INGALLS MEMORIAL HOSPITAL |
| Practice Address |
15620 Wood St Harvey IL 60426-4171 |
| Practice Telephone | 7089154229 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |
| Authorized Official Name | CURT JOHNSON (CEO) |
| Authorized Official Telephone | 7083332300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 146002609 | IL | Agencies |
| N | 252Y00000X | Early Intervention Provider Agency | 146002609 | IL | Agencies |
| N | 282N00000X | General Acute Care Hospital | 146002609 | IL | Hospitals |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
146002609 | IL | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 146002609 | IL | Nursing & Custodial Care Facilities |
| Y | 283X00000X | Rehabilitation Hospital | 146002609 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 362170866001 | 05 | |
| IL | 362170866002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198014 | Ingalls Memorial Hospital | Clinic/Center | 6701 159th St Ste B105, Tinley Park, IL 60477-1758 | 2020-06-11 |
| 1245776988 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-01-18 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1871841841 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-24 |
| 1548518509 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1174871131 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1720336787 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1023105566 | Ingalls Memorial Hospital | Rehabilitation Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-10-06 |
| 1043307580 | Ingalls Memorial Hospital | Psychiatric Unit | One Ingalls Drive, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598756686 | Ingalls Memorial Hospital | Psychiatric Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2005-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INGALLS MEMORIAL HOSPITAL, THE | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Street Address |
15620 WOOD ST |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925387 | Goldwyn Bonner Foggie | Obstetrics & Gynecology | 15620 Wood St, Harvey, IL 60426-4171 | 2006-08-03 |
| 1972089944 | Maryam Mustafaa | Nurse Practitioner | 15620 Wood St, Harvey, IL 60426-4171 | 2018-07-12 |
| 1902396542 | Tina Desiree Lofton-mosley | Nurse Practitioner | 15620 Wood St, Harvey, IL 60426-4171 | 2018-05-17 |
| 1013185693 | Paul G Ngumi | Specialist | 15620 Wood St, Southwest Building, Harvey, IL 60426-4171 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033439641 | Nancy R. Dumont | Rehabilitation Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356877567 | Michelle Wirth | Rehabilitation Hospital | 355 E Erie, Shirley Ryan Ability Lab, Chicago, IL 60611-2654 | 2017-05-08 |
| 1487108973 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 1471 E Business Center Dr # D, Mount Prospect, IL 60056-6046 | 2016-08-12 |
| 1760815096 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 707 W Helen Rd, Palatine, IL 60067-6056 | 2013-08-09 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1619315751 | Brenna Elizabeth Hill | Rehabilitation Hospital | 6942 E 3500n Rd, Bourbonnais, IL 60914-4054 | 2013-06-11 |
| 1154669646 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 1158 N Deer Ave, Palatine, IL 60067-1809 | 2013-01-18 |
| 1720330343 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 820 Berkshire Ln, Des Plaines, IL 60016-7541 | 2012-10-05 |
| 1831410372 | Northshore University Health Care Systems | Rehabilitation Hospital | 790 Edgemere Rd, Buffalo Grove, IL 60089-8013 | 2010-06-18 |
| 1932438108 | Jesse Brown Va Medical Center | Rehabilitation Hospital | 215 W 59th St, Apt 17, Hinsdale, IL 60521-4973 | 2009-12-16 |
| 1912119041 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 345 E Superior Street, 7th Floor, Chicago, IL 60611 | 2007-05-03 |
| 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.