INGALLS DIALYSIS CENTER (NPI# 1801428701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801428701 |
| Entity Type | Organization |
| Organization Name | INGALLS DIALYSIS CENTER |
| Practice Address |
2930 Montvale Dr Ste B Springfield IL 62704-5376 |
| Practice Telephone | 7085520325 |
| Mailing Telephone | 7085520325 |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |
| Authorized Official Name | DR. SIMON P WILLIAMSON II (HEAD CHARGE PHYSICIAN) |
| Authorized Official Telephone | 7085520325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | Hospitals |
| Street Address |
2930 MONTVALE DR STE B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306822200 | Memorial Medical Center | Chronic Disease Hospital | 701 N 1st St, Mab 528, Springfield, IL 62781-0001 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615836 | University of Illinois Hospital | Chronic Disease Hospital | 1463 W Winnemac Ave, Unit 2e, Chicago, IL 60640 | 2016-08-28 |
| 1124344874 | Rosalind Franklin University At Chicagomedical School | Chronic Disease Hospital | 113 W Arden Ln, Round Lake, IL 60073-5658 | 2010-04-19 |
| 1235269937 | Andres Cornejo | Chronic Disease Hospital | 215 N Forest Ave, Mt Prospect, IL 60056-2303 | 2007-03-06 |
| 1821346354 | Loyola University Medical Center | Chronic Disease Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-08-15 |
| 1598010456 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2012-07-17 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1740568518 | Rush University Medical Center | Chronic Disease Hospital | 600 S Paulina St, Suite 527, Chicago, IL 60612-3806 | 2011-07-28 |
| 1033497110 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2011-07-24 |
| 1417265612 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-09-22 |
| 1861707846 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.