HSHS HOLY FAMILY HOSPITAL INC. (NPI# 1912171653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912171653 |
| Entity Type | Organization |
| Organization Name | HSHS HOLY FAMILY HOSPITAL INC. |
| Other Organization Name | HSHS HOLY FAMILY HEALTH CENTER |
| Practice Address |
507 W State St Pocahontas IL 62275-3017 |
| Practice Telephone | 6186641380 |
| Practice Fax Number | 6186644239 |
| Mailing Telephone | 6186692270 |
| Mailing Fax Number | 6186697275 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | MR. DWIGHT B NALL (CEO) |
| Authorized Official Telephone | 6186641230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0005355 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PROVIDER NUMBER | 14-8520 | 01 |
| Other Name | Type Code |
|---|---|
| HSHS Holy Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871787218 | Hshs Holy Family Hospital Inc. | Clinic/Center | 700 S Dewey St, Greenville, IL 62246-2288 | 2007-08-29 |
| 1992889125 | Hshs Holy Family Hospital Inc. | Psychiatry & Neurology | 150 Healthcare Drive, Greenville, IL 62246-1161 | 2006-10-24 |
| 1336184563 | Hshs Holy Family Hospital Inc. | Clinic/Center | 101 Healthcare Dr, Greenville, IL 62246-1159 | 2006-06-19 |
| 1295787828 | Hshs Holy Family Hospital Inc. | Clinic/Center | 201 Healthcare Dr, Greenville, IL 62246-1155 | 2006-05-16 |
| 1902007610 | Hshs Holy Family Hospital Inc. | Nurse Anesthetist, Certified Registered | 200 Health Care Dr, Greenville, IL 62246-1154 | 2007-05-30 |
| 1336155985 | Hshs Holy Family Hospital Inc. | General Acute Care Hospital | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-08-01 |
| 1205850690 | Hshs Holy Family Hospital Inc. | General Acute Care Hospital | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-27 |
| 1194748475 | Hshs Holy Family Hospital Inc. | Ambulance | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-26 |
| 1295755353 | Hshs Holy Family Hospital Inc. | Medicare Defined Swing Bed Unit | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-20 |
| Street Address |
507 W STATE ST |
| City | POCAHONTAS |
| State | IL |
| Zip Code | 62275-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528135787 | P.o. Fire District | Ambulance | #4 State St., Pocahontas, IL 62275-0217 | 2006-11-30 |
| 1528561057 | Adam Beck | Student in an Organized Health Care Education/Training Program | 14111 Niggli Rd, Pocahontas, IL 62275-2015 | 2018-03-12 |
| 1831621945 | Molly Shawnakaye Durbin | Student in an Organized Health Care Education/Training Program | 510 Leaverton St, Apt. #6, Pocahontas, IL 62275-3010 | 2017-03-28 |
| 1255601431 | Erica Knebel | Specialist/Technologist | 601a Stallard St, Pocahontas, IL 62275-3034 | 2012-01-05 |
| 1750800819 | Elizabeth Ann Mascote | Speech-Language Pathologist | 4 E State St, Pocahontas, IL 62275-3038 | 2017-09-10 |
| 1790200442 | Jamie Nicole Hults | Counselor | 304 State Ave, Pocahontas, IL 62275-3516 | 2017-08-03 |
| 1396189171 | James Wassel Tarasuik Jr. | Nurse Practitioner | 379 Hug Cemetery Rd, Pocahontas, IL 62275-3532 | 2013-04-23 |
| 1114220167 | Bria Michelle Veitel | Case Manager/Care Coordinator | 311 Baden Ave, Pocahontas, IL 62275-3635 | 2010-12-14 |
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|---|---|---|---|---|
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| 1467077057 | Jennifer Marie Gray | Nurse Practitioner | 1102 Billy Cv, Pocahontas, AR 72455-1442 | 2020-06-10 |
| 1134742133 | William Todd Institute for Family Wellness | Counselor | 1374 Highway 62 W, Pocahontas, AR 72455-3790 | 2020-05-26 |
| 1497300958 | Emily Christine Weisenbach | Occupational Therapy Assistant | 2004 Highland Blvd, Pocahontas, AR 72455-1713 | 2019-08-01 |
| 1508420662 | Premier Home Care, LLC. | In Home Supportive Care | 807 Mill Rd, Pocahontas, AR 72455-4959 | 2019-04-24 |
| 1992265722 | Melody Dawn Luttrell IIi | Occupational Therapist | 385 Harmony Rd, Pocahontas, AR 72455-7102 | 2019-03-19 |
| 1821571670 | Deni Smith | Speech-Language Pathologist | 1707 Highland Blvd, Pocahontas, AR 72455-2142 | 2018-09-07 |
| 1528561057 | Adam Beck | Student in an Organized Health Care Education/Training Program | 14111 Niggli Rd, Pocahontas, IL 62275-2015 | 2018-03-12 |
| 1891293908 | Nanci Cheryll Young | Speech-Language Pathologist | 2301 N Park St, Pocahontas, AR 72455-1307 | 2018-01-24 |
| 1750800819 | Elizabeth Ann Mascote | Speech-Language Pathologist | 4 E State St, Pocahontas, IL 62275-3038 | 2017-09-10 |
| Find all providers in POCAHONTAS | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559777 | Trimark Physicians Group Inc | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2005-12-20 |
| 1053839795 | Trinity Regional Medical Center | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2017-09-01 |
| 1902350283 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2016-08-04 |
| 1255600433 | Trimark Physicians Group | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2011-12-18 |
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| 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 | POCAHONTAS |
| Zip Code | 62275 |
Please comment or provide details below to improve the information on HSHS HOLY FAMILY HOSPITAL INC..
| 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.