THOMAS H. BOYD MEMORIAL HOSPITAL (NPI# 1366535304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366535304 |
| Entity Type | Organization |
| Organization Name | THOMAS H. BOYD MEMORIAL HOSPITAL |
| Other Organization Name | GREENE COUNTY RURAL HEALTH CLINIC |
| Practice Address |
116a N Main St White Hall IL 62092-1054 |
| Practice Telephone | 2173742188 |
| Practice Fax Number | 2173742189 |
| Mailing Telephone | 2173742188 |
| Mailing Fax Number | 2173742189 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | MRS. DEBORAH JEAN CAMPBELL (CEO) |
| Authorized Official Telephone | 2179429410 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | Y |
| Parent Organization Name | THOMAS H. BOYD MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Greene County Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313180 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 132 W Lorton St, Roodhouse, IL 62082-1569 | 2006-10-02 |
| 1699973685 | Thomas H. Boyd Memorial Hospital | Skilled Nursing Facility | 800 School St, Carrollton, IL 62016-1436 | 2007-07-11 |
| 1164507604 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 800 School St, Carrollton, IL 62016-1436 | 2006-10-25 |
| 1912090960 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 712 College St, Greenfield, IL 62044-1409 | 2006-10-02 |
| 1811096811 | Thomas H. Boyd Memorial Hospital | General Acute Care Hospital | 800 School St, Carrollton, IL 62016-1436 | 2006-09-22 |
| Street Address |
116A N MAIN ST |
| City | WHITE HALL |
| State | IL |
| Zip Code | 62092-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416546 | Jeremy Elliott | Nurse Practitioner | 116a N Main St, White Hall, IL 62092-1054 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302510 | Netherine Lann Valencia Agsalda | Physical Therapist | 620 W Bridgeport St., White Hall Nursing and Rehab, White Hall, IL 62092 | 2013-09-10 |
| 1023292265 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 116 N Main, White Hall, IL 62092 | 2007-12-24 |
| 1023183431 | White Hall Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2006-11-21 |
| 1043731540 | Vidit Atul Phanse | Physical Therapist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2017-07-05 |
| 1194113514 | Brenn Killion | Specialist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2015-01-07 |
| 1619386430 | Amy Lynn Heitzig | Physical Therapy Assistant | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2014-08-06 |
| 1518024009 | Sherdel Janssen | Registered Nurse | 505 S Main St, White Hall, IL 62092-1002 | 2007-01-03 |
| 1295078137 | Pharmacy Plus, Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2013-03-28 |
| 1760767743 | Jason Campbell | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2011-10-20 |
| 1588798045 | Janice Knight Breece | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2007-03-15 |
| Find all providers in zip 62092 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 62092 |
Please comment or provide details below to improve the information on THOMAS H. BOYD 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.