GALESBURG HOSPITAL CORPORATION (NPI# 1659342434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659342434 |
| Entity Type | Organization |
| Organization Name | GALESBURG HOSPITAL CORPORATION |
| Other Organization Name | GALESBURG COTTAGE HOSPITAL |
| Practice Address |
695 N Kellogg St Galesburg IL 61401-2807 |
| Mailing Address |
Po Box 504047 Saint Louis MO 63150-4047 |
| Practice Telephone | 3093438131 |
| Practice Fax Number | 3093432393 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | TARA P RICHARDSON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152213672 |
| Is Organization Subpart | Y |
| Parent Organization Name | GALESBURG HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0005330 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Galesburg Cottage Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306083209 | Galesburg Hospital Corporation | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2009-01-14 |
| 1073722948 | Galesburg Hospital Corporation | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2007-05-21 |
| 1700805660 | Galesburg Hospital Corporation | Psychiatric Unit | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-07-19 |
| 1447221312 | Galesburg Hospital Corporation | General Acute Care Hospital | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2006-01-30 |
| Street Address |
695 N KELLOGG ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875145 | Jeffrey Hill | Family Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2005-07-18 |
| 1992337000 | Sanburg Emergency Group, P.C. | Physician Assistant | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2020-02-06 |
| 1740794536 | Nes Michigan Inc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2017-12-01 |
| 1770037251 | Cynthia Dawn Raya | Nurse Practitioner | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-08-12 |
| 1316399967 | Clinical Colleagues Inc | Anesthesiology | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-07-07 |
| 1801242474 | Hospital Care Consultants of Galesburg, Inc | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2016-05-12 |
| 1003285032 | Patricia Ann Rice | Nurse Practitioner | 695 N Kellogg St, Emergency Department, Galesburg, IL 61401-2807 | 2015-09-21 |
| 1225414667 | Ryan James Bonham | Nurse Anesthetist, Certified Registered | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2015-08-08 |
| 1295000677 | Syed Moazzam Najeeb | Hospitalist | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2012-03-18 |
| 1154623429 | Comprehensive Emergency Solutions II Sc | Emergency Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2010-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659305407 | Unlimited Development, Inc | Skilled Nursing Facility | 2345 Seminary St, Galesburg, IL 61401 | 2006-07-10 |
| 1487624946 | Galesburg Terrace Inc. | Skilled Nursing Facility | 1145 Frank St, Galesburg, IL 61401-2421 | 2006-01-25 |
| 1235126012 | Seminary Manor | Skilled Nursing Facility | 2345 N Seminary St, Galesburg, IL 61401-1202 | 2005-10-05 |
| 1306846258 | Midamerica Care Foundation | Skilled Nursing Facility | 275 E Carl Sandburg Dr, Galesburg, IL 61401-1249 | 2005-07-21 |
| 1285244814 | Allure of Galesburg, LLC | Skilled Nursing Facility | 1145 Frank St, Galesburg, IL 61401-2421 | 2020-08-07 |
| 1134739758 | Allure of Lake Storey, LLC | Skilled Nursing Facility | 1250 W Carl Sandburg Dr, Galesburg, IL 61401-1329 | 2020-08-07 |
| 1386283216 | Marigold Hco LLC | Skilled Nursing Facility | 275 E Carl Sandburg Dr, Galesburg, IL 61401-1249 | 2019-12-23 |
| 1588836258 | Udi 7 | Skilled Nursing Facility | 2345 N Seminary St, Galesburg, IL 61401 | 2008-04-02 |
| 1861670176 | Marigold Hco LLC | Skilled Nursing Facility | 275 E Carl Sandburg Dr, Galesburg, IL 61401-1249 | 2008-02-08 |
| 1487841144 | Bravo Care of Galesburg Inc | Skilled Nursing Facility | 1250 W Carl Sandburg Dr, Galesburg, IL 61401-1329 | 2007-09-26 |
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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.