TAYLORVILLE MEMORIAL HOSPITAL (NPI# 1518170729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518170729 |
Entity Type | Organization |
Organization Name | TAYLORVILLE MEMORIAL HOSPITAL |
Practice Address |
201 E Pleasant St Taylorville IL 62568-1562 |
Practice Telephone | 2178243331 |
Practice Fax Number | 2178241624 |
Mailing Telephone | 2178243331 |
Mailing Fax Number | 2178241624 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2019-06-20 |
Authorized Official Name | MRS. KIM BOURNE (CEO) |
Authorized Official Telephone | 2178243331 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE PART B WPS | 208522 | 01 |
IL | MEDICARE PART B WPS | 793090 | 01 |
IL | BLUE CROSS | 0001115006 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427261635 | Taylorville Memorial Hospital | General Acute Care Hospital | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2007-05-07 |
1417985466 | Taylorville Memorial Hospital | Nurse Anesthetist, Certified Registered | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-06-29 |
1275506636 | Taylorville Memorial Hospital | Medicare Defined Swing Bed Unit | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-08 |
1861465213 | Taylorville Memorial Hospital | Skilled Nursing Facility | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-08 |
1144292020 | Taylorville Memorial Hospital | General Acute Care Hospital | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-03 |
Street Address |
201 E PLEASANT ST |
City | TAYLORVILLE |
State | IL |
Zip Code | 62568-1562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609851260 | James Ballew Maple | Pharmacist | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2005-12-07 |
1619135332 | Janelle Joyce Cornell | Dietitian, Registered | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2008-05-29 |
1942479506 | Barbara Westrick White | Speech-Language Pathologist | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2008-02-27 |
1427261635 | Taylorville Memorial Hospital | General Acute Care Hospital | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2007-05-07 |
1881729036 | Taylorville Memorial Childrens Hospital | General Acute Care Hospital | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2007-02-21 |
1184795098 | Cassandra Marie Davis | Speech-Language Pathologist | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-11-13 |
1417985466 | Taylorville Memorial Hospital | Nurse Anesthetist, Certified Registered | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-06-29 |
1407829559 | Bryan D Rice | Nurse Anesthetist, Certified Registered | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-09 |
1275506636 | Taylorville Memorial Hospital | Medicare Defined Swing Bed Unit | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-08 |
1861465213 | Taylorville Memorial Hospital | Skilled Nursing Facility | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
Find all providers in zip 62568 |
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 |
---|---|---|---|---|
1427261635 | Taylorville Memorial Hospital | General Acute Care Hospital | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2007-05-07 |
1144292020 | Taylorville Memorial Hospital | General Acute Care Hospital | 201 E Pleasant St, Taylorville, IL 62568-1562 | 2006-02-03 |
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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 | TAYLORVILLE |
Zip Code | 62568 |
Please comment or provide details below to improve the information on TAYLORVILLE 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.