COMMUNITY HOSPITAL OF OTTAWA (NPI# 1649305335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649305335 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL OF OTTAWA |
| Practice Address |
1100 E Norris Dr Ottawa IL 61350-1604 |
| Practice Telephone | 8154333100 |
| Practice Fax Number | 8154315520 |
| Mailing Telephone | 8154333100 |
| Mailing Fax Number | 8154315520 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT A CHAFFIN (CEO) |
| Authorized Official Telephone | 8154315456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 273R00000X | Psychiatric Unit | 0002071 | IL | Hospital Units |
| X | 282N00000X | General Acute Care Hospital | 0002071 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215062997 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1114052800 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| 1558496240 | Community Hospital of Ottawa | General Acute Care Hospital | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| Street Address |
1100 E NORRIS DR |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597112 | Rodney Arthur Griffis | Nurse Anesthetist, Certified Registered | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2005-06-01 |
| 1245837459 | Rebecca Anne Ralston | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-10-01 |
| 1689298036 | Clayton Shick | Nurse Anesthetist, Certified Registered | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-06-02 |
| 1407314685 | Andrea Meyer | Speech-Language Pathologist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2019-03-07 |
| 1780141721 | Chloe Wielgopolan | Occupational Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2019-02-26 |
| 1659809580 | Valerie Anne Arwood | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-05-23 |
| 1386180347 | Jessica Manijak | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-16 |
| 1467998450 | Lisa Ondrovic | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-13 |
| 1427594571 | Krzysztof Ratajczak | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-12 |
| 1114463445 | Tatum Schilling | Occupational Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
| Find all providers in zip 61350 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508991282 | Ottawa Regional Hospital & Healthcare Center | Psychiatric Unit | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1740570316 | Robert Young Center | Psychiatric Unit | 4200 6th Ave, Rock Island, IL 61201-2109 | 2011-04-15 |
| 1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
| 1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
| 1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
| 1952425076 | Elgin Mental Health Center William White 4585 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-16 |
| 1932251766 | Families and Adolescents In Recovery, Inc. | Psychiatric Unit | 2010 E Algonquin Rd, Suite # 203-207, Schaumburg, IL 60173-4185 | 2007-01-18 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY HOSPITAL OF OTTAWA.
| 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.