SALEM TOWNSHIP HOSPITAL (NPI# 1649830472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649830472 |
| Entity Type | Organization |
| Organization Name | SALEM TOWNSHIP HOSPITAL |
| Practice Address |
1321 W Whittaker St Salem IL 62881-2013 |
| Mailing Address |
1201 Ricker Rd Salem IL 62881-4263 |
| Practice Telephone | 6185486644 |
| Practice Fax Number | 8446595619 |
| Mailing Telephone | 6185483194 |
| Mailing Fax Number | 6185480167 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | ALEXANDER NAZARIAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6185483194 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALEM TOWNSHIP 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 |
|---|---|
| Salem Township Hospital Family Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739548 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Drive, Salem, IL 62881 | 2005-06-02 |
| 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 |
| 1518024637 | Salem Township Hospital | Internal Medicine | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-01-02 |
| 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 |
1321 W WHITTAKER ST |
| City | SALEM |
| State | IL |
| Zip Code | 62881-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477593705 | Kimberly Victoria Barnes Reames | Internal Medicine | 1321 W Whittaker St, Salem, IL 62881-2013 | 2006-06-07 |
| 1629433784 | Salem Township Hospital | Nurse Practitioner | 1321 W Whittaker St, Salem, IL 62881-2013 | 2015-12-16 |
| 1548490360 | Miriam A. Baumgart | Internal Medicine | 1321 W Whittaker St, Salem, IL 62881-2013 | 2009-07-15 |
| 1902986730 | Palaniappan Suppiah | Internal Medicine | 1321 W Whittaker St, Salem, IL 62881-2013 | 2006-10-16 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1821089657 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72 Bldg II, Salem, MO 65560-7217 | 2005-11-01 |
| 1639174568 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2005-06-16 |
| 1316411655 | Crittenden Community Hospital LLC | Clinic/Center | 117 E Main St, Salem, KY 42078-9998 | 2019-01-21 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1194077701 | Pcrmc Medical Group, Inc | Clinic/Center | 1415 W Scenic Rivers Blvd, Salem, MO 65560-2840 | 2012-10-05 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| 1619201829 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2009-09-22 |
| 1619109543 | Physician Services Corp of Southern Illinois | Clinic/Center | 1250 W Whittaker St, Salem, IL 62881-1917 | 2009-08-11 |
| 1821243981 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy 72, Bld. 3, Salem, MO 65560-0719 | 2008-11-17 |
| Find all providers in SALEM | ||||
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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.