SALEM TOWNSHIP HOSPITAL (NPI# 1518024637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518024637 |
| Entity Type | Organization |
| Organization Name | SALEM TOWNSHIP HOSPITAL |
| Practice Address |
1201 Ricker Rd Salem IL 62881-4263 |
| Practice Telephone | 6185483194 |
| Practice Fax Number | 6185486831 |
| Mailing Telephone | 6185483194 |
| Mailing Fax Number | 6185486831 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | TERESA LYNN FUHRHOP (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6185483194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0002089 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739548 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Drive, Salem, IL 62881 | 2005-06-02 |
| 1649830472 | Salem Township Hospital | Clinic/Center | 1321 W Whittaker St, Salem, IL 62881-2013 | 2019-06-14 |
| 1629433784 | Salem Township Hospital | Nurse Practitioner | 1321 W Whittaker St, Salem, IL 62881-2013 | 2015-12-16 |
| 1750429742 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-02-02 |
| 1770649931 | Salem Township Hospital | Nurse Anesthetist, Certified Registered | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-29 |
| 1508922816 | Salem Township Hospital | Internal Medicine | 1201 Ricker Rd, Salem, IL 62881-4263 | 2006-12-29 |
| 1184783425 | Salem Township Hospital | Medicare Defined Swing Bed Unit | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-06 |
| 1689732463 | Salem Township Hospital | Emergency Medicine | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-05 |
| 1659382893 | Salem Township Hospital | Home Health | 1201 Ricker Drive, Salem, IL 62881 | 2006-08-11 |
| 1265467195 | Salem Township Hospital | Clinic/Center | 1201 Ricker Drive, Salem, IL 62881 | 2006-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SALEM TOWNSHIP HOSPITAL | 1201 Ricker Dr, Salem, IL 62881-4263 |
| Street Address |
1201 RICKER RD |
| City | SALEM |
| State | IL |
| Zip Code | 62881-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686115 | Michael J Hourigan | Registered Nurse | 1201 Ricker Rd, Salem, IL 62881-4263 | 2006-04-05 |
| 1174136626 | Christopher Evan Meier | Physical Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2020-08-25 |
| 1407407885 | Tracy Adele Caswell | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2019-09-26 |
| 1215455621 | Emily Harrell | Physical Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2017-09-06 |
| 1770998049 | Total Renal Care Inc | Clinic/Center | 1201 Ricker Rd, Salem, IL 62881-4263 | 2014-06-25 |
| 1710307681 | Deidre Langston | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2014-04-18 |
| 1881958981 | Southern Obstetric & Gyneco Associates | Obstetrics & Gynecology | 1201 Ricker Rd, Salem, IL 62881-4263 | 2012-07-03 |
| 1881964948 | Keri A Paulson | Occupational Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2012-01-06 |
| 1508134396 | Stephanie D Branch | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2011-12-07 |
| 1356578819 | Jan Michael Pastrana Aguiling | Physical Therapist | 1201 Ricker Rd, Salem, IL 62881-4263 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
| 1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
| 1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
| 1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
| 1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
| 1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
| Find all providers in zip 62881 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639454903 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Salem, OR 97301-0060 | 2011-10-18 |
| 1548545817 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Suite 130, Salem, OR 97301-3421 | 2011-10-18 |
| 1235225624 | Matthew C Fedor | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-10-05 |
| 1366465775 | Kyong T Turk | Internal Medicine | 885 Mission St Se, Salem, OR 97302-6222 | 2006-07-26 |
| 1013959493 | Salem Cardiology Arrhythmia Division, P.C. | Internal Medicine | 875 Oak St Se, Suite #5040, Salem, OR 97301-3975 | 2006-06-12 |
| 1578503249 | Wallace I Lai I | Internal Medicine | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1568637833 | Krishnaswami Sriram | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2008-04-28 |
| 1083712467 | Ohio Valley Heartcare Inc | Internal Medicine | 1405 Locust St, Eldorado, IL 62930-1629 | 2006-09-20 |
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1164483145 | Mehran Jabbarzadeh | Internal Medicine | 900 Technology Way Ste 220, Libertyville, IL 60048-5364 | 2006-03-30 |
| 1497754634 | Rebecca Sue Riepshoff | Internal Medicine | Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 | 2005-07-19 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
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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.