COUNTY OF MERCER HOSPITAL (NPI# 1215961818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215961818 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MERCER HOSPITAL |
| Other Organization Name | MEDICAL ASSOCIATES CLINIC |
| Practice Address |
1007 Nw 3rd St Aledo IL 61231-1296 |
| Practice Telephone | 3095823700 |
| Practice Fax Number | 3095823737 |
| Mailing Telephone | 3095823700 |
| Mailing Fax Number | 3095823737 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-02-25 |
| Authorized Official Name | TED ROGALSKI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3095823700 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF MERCER HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS OF IL | 0006632002 | 01 |
| MEDICARE B | 210481 | 01 | |
| IL | MEDICARE B | 825050 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Associates Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750682670 | County of Mercer Hospital | Podiatrist | 1007 Nw 3rd Ave, Suite 100, Aledo, IL 61231-1317 | 2010-11-09 |
| 1366571648 | County of Mercer Hospital | General Acute Care Hospital | 409 Nw 9th Ave, Aledo, IL 61231-1258 | 2007-03-05 |
| 1285625012 | County of Mercer Hospital | Hospice Care, Community Based | 409 Nw 9th Ave, Aledo, IL 61231-1258 | 2005-11-01 |
| 1528068087 | County of Mercer Hospital | Home Health | 409 Nw 9th Ave, Aledo, IL 61231-1258 | 2005-07-27 |
| 1093715799 | County of Mercer Hospital | General Acute Care Hospital | 409 Nw 9th Ave, Aledo, IL 61231-1258 | 2005-07-26 |
| Street Address |
1007 NW 3RD ST |
| City | ALEDO |
| State | IL |
| Zip Code | 61231-1296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832910 | Robert D Padgett | Family Medicine | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2005-09-20 |
| 1043821440 | Lindsay Marie Chick | Nurse Practitioner | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2020-08-11 |
| 1649802364 | Samantha Shepard | Physician Assistant | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2020-02-11 |
| 1336655828 | Chantelle Evonne Peterson | Nurse Practitioner | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2017-12-19 |
| 1104298314 | Morgan L Ryan | Nurse Practitioner | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2015-10-27 |
| 1407234875 | Megan Nache | Nurse Practitioner | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2015-05-18 |
| 1265842801 | Paula Shannon | Social Worker | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2014-05-05 |
| 1053664938 | Genesis Medical Center, Aledo | Clinic/Center | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2012-10-17 |
| 1396078051 | Tara J Gengler | Nurse Practitioner | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2009-09-14 |
| 1609920768 | Dennis D Palmer | Family Medicine | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1952523565 | Mohamed I Rajput | Surgery | 309 Nw 2nd St, Aledo, IL 61231 | 2007-05-03 |
| 1750432324 | Gary Stanford Olson | Dentist | 403 Nw 4th St, Aledo, IL 61231 | 2007-01-12 |
| 1912091745 | Mercer Cty Hospital | Pharmacy | 409 N.w. 9th Ave, Outpatient Pharmacy, Aledo, IL 61231 | 2006-10-03 |
| 1811080492 | Glenda E Foy | Chiropractor | 301 Se Third Street, Aledo, IL 61231 | 2006-10-02 |
| 1902892805 | Kristin A Wurzburger | Internal Medicine | 1007 Nw 3rd Street, Aledo, IL 61231 | 2005-09-26 |
| 1205924024 | Mercer County Hospital Pharmacy | Pharmacy | 409 N.w. 9th Ave, Pharmacy, Aledo, IL 61231 | 2006-10-10 |
| 1205829827 | County of Mercer | Public Health or Welfare | 305 Nw 7th St, Aledo, IL 61231-1072 | 2005-08-30 |
| 1942354915 | Mercer Health Center, S.c. | Family Medicine | 409 Nw 4th St, Aledo, IL 61231-1209 | 2007-01-23 |
| 1124479266 | Thais Meredith | Dentist | 403 Nw 4th St, Aledo, IL 61231-1209 | 2016-06-30 |
| Find all providers in zip 61231 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578717849 | Sports & Family Chiropractic & Acupuncture, Pa | Clinic/Center | 203 E Oak St, Aledo, TX 76008-4345 | 2008-11-12 |
| 1053664938 | Genesis Medical Center, Aledo | Clinic/Center | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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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.