LAWRENCE COUNTY MEMORIAL HOSPITAL (NPI# 1215037635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215037635 |
| Entity Type | Organization |
| Organization Name | LAWRENCE COUNTY MEMORIAL HOSPITAL |
| Practice Address |
2200 State St Lawrenceville IL 62439-1852 |
| Practice Telephone | 6189437249 |
| Practice Fax Number | 6189437223 |
| Mailing Telephone | 6189437249 |
| Mailing Fax Number | 6189437223 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | GERALD H KLEIN (CFO) |
| Authorized Official Telephone | 6189437202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0001255 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 376001199401 | 05 | |
| IL | 376001199001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1811183692 | Lawrence County Memorial Hospital | Clinic/Center | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-09-14 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1629177910 | Lawrence County Memorial Hospital | Ambulance | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-22 |
| 1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
| 1881643401 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAWRENCE COUNTY MEMORIAL HOSPITAL | 2200 State St, Lawrenceville, IL 62439-1852 |
| Street Address |
2200 STATE ST |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723247 | Timothy R Williams | Anesthesiology | 2200 State St, Lawrenceville, IL 62439-1852 | 2005-07-12 |
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1972707792 | Mark E Kennedy | Nurse Anesthetist, Certified Registered | 2200 State St, Lawrenceville, IL 62439-1852 | 2007-06-14 |
| 1326136383 | Midwest Ultrasound Services, Inc. | Spec/Tech, Cardiovascular | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-10-11 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1629177910 | Lawrence County Memorial Hospital | Ambulance | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-22 |
| 1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| 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 |
|---|---|---|---|---|
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1881643401 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-05-09 |
| 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 | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
Please comment or provide details below to improve the information on LAWRENCE COUNTY MEMORIAL HOSPITAL.
| 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.