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).
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 |
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 Name | Type Code |
---|---|
Emergency Room Group | Other Name - Individual/Organization |
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 |
Street Address |
1000 WEST HARLEM AVE |
City | MONMOUTH |
State | IL |
Zip Code | 61462-1099 |
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 |
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 Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS 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.