KIRBY MEDICAL CENTER (NPI# 1598869133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598869133 |
| Entity Type | Organization |
| Organization Name | KIRBY MEDICAL CENTER |
| Other Organization Name | KIRBY AMBULANCE |
| Practice Address |
1000 Medical Center Dr Monticello IL 61856-2116 |
| Practice Telephone | 2177622115 |
| Practice Fax Number | 2177621502 |
| Mailing Telephone | 2177622115 |
| Mailing Fax Number | 2177621502 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | STEVEN D TENHOUSE (CEO) |
| Authorized Official Telephone | 2177621501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
66768 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE NUMBER | 0002758 | 01 |
| Other Name | Type Code |
|---|---|
| Kirby Ambulance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508219288 | Kirby Medical Center | Clinic/Center | 407 South Jackson Street, Suite A, Cerro Gordo, IL 61818-4356 | 2016-07-19 |
| 1568074714 | Kirby Medical Center | Pharmacy | 1402 N Market St, Monticello, IL 61856-8002 | 2020-08-19 |
| 1437711140 | Kirby Medical Center | Pharmacy | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2019-07-02 |
| 1558527259 | Kirby Medical Center | Clinic/Center | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2008-08-01 |
| 1376524322 | Kirby Medical Center | Durable Medical Equipment & Medical Supplies | 1111 N State St, Monticello, IL 61856-1151 | 2005-11-08 |
| 1437140027 | Kirby Medical Center | Skilled Nursing Facility | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-11-02 |
| 1740271667 | Kirby Medical Center | Clinic/Center | 108 S Main St, Atwood, IL 61913-0705 | 2005-10-31 |
| 1386635373 | Kirby Medical Center | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-10-31 |
| 1730179847 | Kirby Medical Center | General Acute Care Hospital | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-10-28 |
| Street Address |
1000 MEDICAL CENTER DR |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534420 | James E Manint | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2005-10-28 |
| 1477163434 | Kristin Marie Schmidt | Dietitian, Registered | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2020-08-05 |
| 1437711140 | Kirby Medical Center | Pharmacy | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2019-07-02 |
| 1427557321 | Crystal S Clark | Nurse Practitioner | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2018-02-06 |
| 1407360530 | Jennifer Shawn Mahannah | Nurse Practitioner | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2017-11-28 |
| 1457896623 | Jennifer N Meinhart | Nurse Practitioner | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2016-12-27 |
| 1811439375 | Samantha Lendi | Physical Therapist | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2016-11-14 |
| 1710343330 | Santia Fitzpatrick | Nurse Practitioner | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2016-01-12 |
| 1518338532 | Kathleen Quinn | Dietitian, Registered | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2015-10-16 |
| 1295152205 | Evelyn Huang | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1952325417 | Brandon J Hissong | Dentist | 806 W Bridge St, Monticello, IL 61856-1038 | 2006-07-27 |
| 1124019286 | Laura Patricia Lee | Physician Assistant | 1111 N State St, Monticello, IL 61856-1151 | 2005-10-28 |
| 1376524322 | Kirby Medical Center | Durable Medical Equipment & Medical Supplies | 1111 N State St, Monticello, IL 61856-1151 | 2005-11-08 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 1902952062 | San Juan County | Ambulance | 117 South Main, Monticello, UT 84535 | 2007-01-25 |
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| 1609859818 | Jasper County Emergency Medical Service | Ambulance | 185 Highway 212 W, Monticello, GA 31064-0000 | 2005-11-22 |
| 1871593608 | Wayne County Fiscal Court | Ambulance | 111 Jim Hill Service Rd, Monticello, KY 42633-7901 | 2005-07-22 |
| 1467537829 | City of Monticello | Ambulance | 120 W Washington St, Monticello, IN 47960-2163 | 2006-10-26 |
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| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 61856 |
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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.