LAWRENCE COUNTY MEMORIAL HOSPITAL (NPI# 1811183692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811183692 |
| Entity Type | Organization |
| Organization Name | LAWRENCE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | PRIMARY CARE CLINIC |
| Practice Address |
2111 Lexington Ave Lawrenceville IL 62439-2085 |
| Practice Telephone | 6189437216 |
| Practice Fax Number | 6189437219 |
| Mailing Telephone | 6189431000 |
| Mailing Fax Number | 6189437219 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | CARL ATEN (BOARD CHAIRMAN) |
| Authorized Official Telephone | 6188438424 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAWRENCE COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LCMH PART A NPI 1881643401 - 141344 | 1881643401 | 01 |
| Other Name | Type Code |
|---|---|
| PRIMARY CARE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1215037635 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1629177910 | Lawrence County Memorial Hospital | Ambulance | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-22 |
| 1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
| 1881643401 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAWRENCE COUNTY MEMORIAL HOSPITAL | 2200 State St, Lawrenceville, IL 62439-1852 |
| Street Address |
2111 LEXINGTON AVE |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884273 | Rachel Ann Winters | Family Medicine | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2006-01-05 |
| 1073003588 | Michelle Macey Thacker | Nurse Practitioner | 2111 Lexington Ave, Lawrenceville, IL 62439 | 2018-05-10 |
| 1164952073 | Tracy R Ramsey | Nurse Practitioner | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2017-06-13 |
| 1720529001 | Rachel A. Winters M.d. | Family Medicine | 2111 Lexington Ave, Suite 3, Lawrenceville, IL 62439-2085 | 2017-03-20 |
| 1942668314 | Kathleen E Clark | Nurse Practitioner | 2111 Lexington Ave, Ste #1, Lawrenceville, IL 62439 | 2016-02-01 |
| 1740456573 | Steven M. Ramsaran, Md | Clinic/Center | 2111 Lexington Ave, Suite 6, Lawrenceville, IL 62439-2085 | 2008-05-01 |
| 1346449188 | Tanna Lynn Mccullough | Nurse Practitioner | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-07-12 |
| 1932308749 | Lawrence County Rule Health Clinic | Clinic/Center | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-07-12 |
| 1467421545 | Charles Bernard Clagett Jr. | Family Medicine | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2006-03-14 |
| 1538134416 | Steven Mark Ramsaran | Family Medicine | 2111 Lexington Ave, Suite 6, Lawrenceville, IL 62439-2085 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932308749 | Lawrence County Rule Health Clinic | Clinic/Center | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-07-12 |
| 1629132410 | County of Lawrence Health Department | Clinic/Center | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-12-19 |
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|---|---|---|---|---|
| 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 | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
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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.