FAYETTE COUNTY HOSPITAL DISTRICT (NPI# 1912988734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912988734 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY HOSPITAL DISTRICT |
| Other Organization Name | FAYETTE COUNTY HOSPITAL |
| Practice Address |
650 W Taylor St Vandalia IL 62471-1227 |
| Practice Telephone | 6182831232 |
| Practice Fax Number | 6182831617 |
| Mailing Telephone | 6182831232 |
| Mailing Fax Number | 6182831617 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-07-28 |
| Authorized Official Name | SHERI R. HOPKINS (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6182835444 |
| Authorized Official Credential | BS, RHIT, CPHQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0000695 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS HOSPITAL | 0276 | 01 |
| IL | HEALTH ALLIANCE | 003667 | 01 |
| IL | TRICARE | 201890414 | 01 |
| IL | 102928 | HEALTHLINK | 01 |
| IL | BLUE CROSS PHYSICIAN | 2610276 | 01 |
| Other Name | Type Code |
|---|---|
| Fayette County Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| 1790146728 | Fayette County Hospital District | Clinic/Center | 825 New York Dr, Vandalia, IL 62471-1044 | 2016-03-18 |
| 1811199532 | Fayette County Hospital District | Clinic/Center | 515 N Main St, Saint Elmo, IL 62458-1638 | 2007-06-04 |
| 1568500510 | Fayette County Hospital District | Clinic/Center | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2007-02-02 |
| 1497868772 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471 | 2006-08-17 |
| 1306959689 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471-1227 | 2006-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAYETTE COUNTY HOSPITAL DISTRICT, THE | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Street Address |
650 W TAYLOR ST |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104296 | Brent Wayne Schwarm | Internal Medicine | 650 W Taylor St, Vandalia, IL 62471-1227 | 2005-06-14 |
| 1871127019 | Micah Hamm | Nurse Practitioner | 650 W Taylor St, Vandalia, IL 62471-1296 | 2020-02-26 |
| 1588200364 | Matthew Edward Weems | Nurse Practitioner | 650 W Taylor St, Vandalia, IL 62471-1227 | 2019-11-27 |
| 1174094379 | S Thomas Sehy D P M L L C | Podiatrist | 650 W Taylor St, Vandalia, IL 62471-1227 | 2018-12-16 |
| 1740767763 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 650 W Taylor St, Vandalia, IL 62471-1227 | 2018-07-23 |
| 1275906075 | Fayette County Hospital Districe | Ambulance | 650 W Taylor St, Vandalia, IL 62471-1227 | 2015-11-03 |
| 1932448990 | Rebecca J Sefton | Nurse Anesthetist, Certified Registered | 650 W Taylor St, Vandalia, IL 62471-1227 | 2013-02-11 |
| 1548494818 | Illinois Associates Psychiary P C | Social Worker | 650 W Taylor St, Vandalia, IL 62471-1227 | 2009-05-14 |
| 1407022361 | Granite City Orthopedic Physicians Company LLC | Orthopaedic Surgery | 650 W Taylor St, Vandalia, IL 62471-1227 | 2008-05-01 |
| 1457529646 | Fayette County Hospital | General Acute Care Hospital | 650 W Taylor St, Vandalia, IL 62471-1227 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457529646 | Fayette County Hospital | General Acute Care Hospital | 650 W Taylor St, Vandalia, IL 62471-1227 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846353 | Express Care, LLC | General Acute Care Hospital | 11 E Adams St Ste 1100, Chicago, IL 60603-6315 | 2020-06-23 |
| 1508152745 | Medical Connections | General Acute Care Hospital | 25749 Sunnymere Dr, Plainfield, IL 60585-1290 | 2011-06-27 |
| 1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
| 1578885182 | Hillsboro Area Hospital | General Acute Care Hospital | 120 W Saint John St, Ste 2, Litchfield, IL 62056-2169 | 2010-02-23 |
| 1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
| 1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
| 1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
| 1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
| 1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
| 1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
| 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.