SALEM TOWNSHIP HOSPITAL (NPI# 1689732463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689732463 |
| Entity Type | Organization |
| Organization Name | SALEM TOWNSHIP HOSPITAL |
| Practice Address |
1201 Ricker Drive Salem IL 62881 |
| Practice Telephone | 6185483194 |
| Practice Fax Number | 6185486831 |
| Mailing Telephone | 6185483194 |
| Mailing Fax Number | 6185486831 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MS. TERESA LYNN FUHRHOP (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6185483194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0002089 | IL | Allopathic & Osteopathic Physicians |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0002089 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 6115213 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739548 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Drive, Salem, IL 62881 | 2005-06-02 |
| 1649830472 | Salem Township Hospital | Clinic/Center | 1321 W Whittaker St, Salem, IL 62881-2013 | 2019-06-14 |
| 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 |
| 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 |
1201 RICKER DRIVE |
| City | SALEM |
| State | IL |
| Zip Code | 62881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739548 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Drive, Salem, IL 62881 | 2005-06-02 |
| 1376107532 | Amna Haq | Dietitian, Registered | 1201 Ricker Drive, Salem, IL 62881 | 2019-04-23 |
| 1770649931 | Salem Township Hospital | Nurse Anesthetist, Certified Registered | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-29 |
| 1184783425 | Salem Township Hospital | Medicare Defined Swing Bed Unit | 1201 Ricker Drive, Salem, IL 62881 | 2006-12-06 |
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235316092 | Department of Veterans Affairs | General Acute Care Hospital | 13 S College Ave, Salem, VA 24153-3833 | 2008-01-23 |
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1427388982 | St Vincent Salem Hospital Inc | General Acute Care Hospital | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
| 1750429742 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-02-02 |
| 1336227750 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-02 |
| 1578640611 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1427135466 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1265407001 | Fulton County Hospital | General Acute Care Hospital | 679 N Main St, Salem, AR 72576-9451 | 2006-02-22 |
| 1376529081 | Livingston Hospital and Healthcare Services, Inc. Cah | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
| 1588640254 | Livingston Hospital and Healthcare Services, Inc. | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
| 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.