COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC


Address: 1000 West Harlem Ave, Monmouth, IL 61462-1099
Phone: 3097343141

COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC (NPI# 1023095437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023095437
Entity Type Organization
Organization Name COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC
Other Organization Name EMERGENCY ROOM GROUP
Practice Address 1000 West Harlem Ave
Monmouth
IL 61462-1099
Practice Telephone 3097343141
Practice Fax Number 3097343029
Mailing Telephone 3097343141
Mailing Fax Number 3097343029
Enumeration Date 2005-12-28
Last Update Date 2020-08-22
Authorized Official Name MR. BRETT L STAHL (PROJECTS COORDINATOR)
Authorized Official Telephone 3097341431
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
ID 000429 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Emergency Room Group Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447239728 Community Medical Center of Western Illinois Inc Skilled Nursing Facility 1000 W Harlem Avenue, Monmouth, IL 61462-1099 2006-01-13
1033198932 Community Medical Center of Western Illinois Inc Clinic/Center 1000 W Harlem Ave, Monmouth, IL 61462-1007 2006-01-10

Office Location

Street Address 1000 WEST HARLEM AVE
City MONMOUTH
State IL
Zip Code 61462-1099

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215914122 Community Medical Center of Western Il Inc Nurse Anesthetist, Certified Registered 1000 West Harlem Ave, Monmouth, IL 61462-1099 2005-12-30
1861479776 Community Medical Center of Western Il Inc Medicare Defined Swing Bed Unit 1000 West Harlem Ave, Monmouth, IL 61462-1099 2005-12-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740806942 Michelle N Smith Registered Nurse 1220 E. 2nd Avenue, Monmouth, IL 61462 2020-06-23
1518413103 Daniel Chard Emergency Medical Technician, Basic 331 S. 6th St, Monmouth, IL 61462 2016-09-01
1174079388 Patrick Spears Emergency Medical Technician, Paramedic 601 Industrial Park Road, Monmouth, IL 61462 2016-08-28
1326222993 Terri Lynn Gittings Registered Nurse Industrial Park Road, Bridgeway Inc, Monmouth, IL 61462 2007-12-19
1811011422 Hancock Mcdonough Roe 21 Local Education Agency (LEA) 1301 N Main, Ste 3, Monmouth, IL 61462 2007-03-19
1295870137 Warren Achievement Center Inc Case Management 1220 East Second Avenue, Monmouth, IL 61462 2007-02-20
1265432363 Community Medical Center of Western Il Inc Home Health 1000 W Harlem Ave, Monmouth, IL 61462-1007 2005-07-29
1285253997 Catherine Jane Steck Physical Therapist 1000 W Harlem Ave, Monmouth, IL 61462-1007 2020-04-13
1205482254 Tonya Renee Gibbs Nurse Practitioner 1000 W Harlem Ave, Monmouth, IL 61462-1007 2019-08-15
1285193441 Carrie Anne Green Nurse Practitioner 1000 W Harlem Ave, Monmouth, IL 61462-1007 2019-03-18
Find all providers in zip 61462

Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295119808 Advocate Christ Medical Center Clinic/Center 12997 Sunrise Dr, Lemont, IL 60439-4565 2015-07-13
1407245954 First Care Express Care LLC Clinic/Center 10 Emerald Ter Ste C, Swansea, IL 62226-2310 2015-01-21
1083875751 Tom Pearce Martin Clinic/Center 10900 Porter Ln, Junction, IL 62954-2200 2008-06-24
1306017256 Danvers Emergency & Rescue Service Clinic/Center 208 E. Main St., Danvers, IL 61732-9197 2008-03-19
1265966048 Methodist Medical Center of Illinois Clinic/Center 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2017-04-18
1689001414 Medical Surgical Group Clinic/Center 7456 S State Rd, Suite 104, Bedford Park, IL 60638-6623 2013-10-13
1902009186 Nah Emergency Services Sc Clinic/Center 1044 N Francisco Ave, Chicago, IL 60622-2743 2007-06-06
1881763449 Northern Illinois Emergency & Occp Med Spec Clinic/Center 701 W North Ave, Melrose Park, IL 60160-1612 2006-11-07

Competitor

Search similar providers

City MONMOUTH
Zip Code 61462

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Dataset Information

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.

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