HERRIN HOSPITAL PHARMACY (NPI# 1205992781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205992781 |
| Entity Type | Organization |
| Organization Name | HERRIN HOSPITAL PHARMACY |
| Practice Address |
201 S 14th St Herrin IL 62948-3631 |
| Practice Telephone | 6189422171 |
| Practice Fax Number | 6183514904 |
| Mailing Telephone | 6189422171 |
| Mailing Fax Number | 6183514904 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN M CHANEY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6189422171 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | IL | Hospitals |
| Street Address |
201 S 14TH ST |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524136 | Jeffrey Mark Jacobs | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2005-08-02 |
| 1174131015 | Amabelle Estoque | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
| 1033727938 | Joseph H Painter | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
| 1134740608 | Ryan Williams | Specialist/Technologist, Other | 201 S 14th St, Herrin, IL 62948-3631 | 2020-05-06 |
| 1548800386 | Danielle Jo Fisher | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2020-01-09 |
| 1255977062 | Austin Thomas Butler | Specialist/Technologist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-11-27 |
| 1972147213 | Brianna Nicole Krelo | Physical Medicine & Rehabilitation | 201 S 14th St, Herrin, IL 62948-3631 | 2019-10-30 |
| 1942854526 | Janelle Renee Kirby | Nurse Practitioner | 201 S 14th St, Herrin, IL 62948-3631 | 2019-07-31 |
| 1487116901 | Shantell Elizabeth Lodwick | Physical Therapy Assistant | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
| 1891257325 | Betsy Putbrese | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528158573 | Southern Illinois Hospital Services | General Acute Care Hospital | 201 S 14th St, Herrin, IL 62948-3631 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
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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.