HARDIN COUNTY GENERAL HOSPITAL (NPI# 1770666893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770666893 |
| Entity Type | Organization |
| Organization Name | HARDIN COUNTY GENERAL HOSPITAL |
| Practice Address |
6 Ferrell Road Rosiclare IL 62982 |
| Practice Telephone | 6182856634 |
| Practice Fax Number | 6182853564 |
| Mailing Telephone | 6182856634 |
| Mailing Fax Number | 6182853564 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBY D WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 6182856634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 0000901 | IL | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS PROVIDER NO. | 0247 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790834430 | Hardin County General Hospital | Durable Medical Equipment & Medical Supplies | 925 Pickwick St, Savannah, TN 38372-3057 | 2007-01-10 |
| 1699754812 | Hardin County General Hospital | General Acute Care Hospital | 935 Wayne Road, Savannah, TN 38372 | 2006-01-16 |
| 1538166814 | Hardin County General Hospital | Home Health | 983 Wayne Rd, Ste A, Savannah, TN 38372-2290 | 2005-07-01 |
| 1538165600 | Hardin County General Hospital | General Acute Care Hospital | 6 Ferrell Road, Rosiclare, IL 62982 | 2005-06-23 |
| 1609196294 | Hardin County General Hospital | Clinic/Center | 935 Wayne Rd, Savannah, TN 38372-1937 | 2010-06-04 |
| 1487977872 | Hardin County General Hospital | Ambulance | 935 Wayne Rd, Savannah, TN 38372-1937 | 2010-03-12 |
| 1609917202 | Hardin County General Hospital | General Acute Care Hospital | 935 Wayne Rd, Savannah, TN 38372-1937 | 2007-02-08 |
| 1033259924 | Hardin County General Hospital | Pharmacy | 935 Wayne Rd, Savannah, TN 38372-1937 | 2007-02-08 |
| 1730233552 | Hardin County General Hospital | Skilled Nursing Facility | 935 Wayne Rd, Savannah, TN 38372-1937 | 2007-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARDIN COUNTY GENERAL HOSPITAL | 6 Ferrell Rd, Rosiclare, IL 62982-1052 |
| Street Address |
6 FERRELL ROAD |
| City | ROSICLARE |
| State | IL |
| Zip Code | 62982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165600 | Hardin County General Hospital | General Acute Care Hospital | 6 Ferrell Road, Rosiclare, IL 62982 | 2005-06-23 |
| 1073731550 | Alliance Imaging Inc | Clinic/Center | 6 Ferrell Road, Rosiclare, IL 62982 | 2007-04-23 |
| 1346323615 | Hardin County General Hospital Clinic | Clinic/Center | 6 Ferrell Road, Rosiclare, IL 62982 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018188 | Cheryl Hicks | Nurse Practitioner | 6 Ferrell Rd, Rosiclare, IL 62982 | 2016-04-20 |
| 1982992426 | Megan Leahy | Speech-Language Pathologist | 55 Ferrell Road, Rosiclare, IL 62982 | 2011-07-19 |
| 1952555658 | Petersen Health Operations, LLC | Skilled Nursing Facility | Rt 1 Ferrel Rd, Rosiclaire, IL 62982 | 2008-11-07 |
| 1447441308 | Southern Illinois Oxygen, Inc | Durable Medical Equipment & Medical Supplies | Rr 146, Rosiclare, IL 62982 | 2007-08-06 |
| 1770705824 | Kandy Kaye Willis | Pharmacist | #6 Ferrell Road, Rosiclare, IL 62982 | 2007-05-02 |
| 1659405850 | Petersen Health Network, LLC | Nursing Facility/Intermediate Care Facility | 201 Spring Street, Rosiclare, IL 62982 | 2007-03-16 |
| 1700986114 | Della Darlene Pugh | Durable Medical Equipment & Medical Supplies | Junction 34 & Rte 146, Rosiclare, IL 62982 | 2006-09-25 |
| 1609892793 | Rosiclare Hco, LLC | Skilled Nursing Facility | Route1, Box 55a, Rosiclare, IL 62982 | 2006-07-14 |
| 1255331625 | Marcos N Sunga Jr. | Internal Medicine | 1 Ferrell Rd, Rosiclare, IL 62982 | 2005-07-28 |
| 1376543702 | Eladio M Chatto | Internal Medicine | 6 Ferrell Rd., Rosiclare, IL 62982 | 2005-07-28 |
| Find all providers in zip 62982 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316169949 | Alexian Brothers Medical Center | Medicare Defined Swing Bed Unit | 800 Biesterfield Rd Ste 605, Eberle Medical Office Building, Elk Grove Village, IL 60007-3362 | 2007-05-03 |
| 1902854623 | Cgh Medical Center | Medicare Defined Swing Bed Unit | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-05 |
| 1336638915 | Valley West Community Hospital | Medicare Defined Swing Bed Unit | 1302 N Main St, Sandwich, IL 60548-2587 | 2018-05-09 |
| 1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
| 1912404765 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-09 |
| 1801212055 | Osf Healthcare System | Medicare Defined Swing Bed Unit | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-12 |
| 1639595036 | Southern Illinois Hospital Services | Medicare Defined Swing Bed Unit | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2014-03-10 |
| 1295066983 | Advocate Health and Hospitals Corp. | Medicare Defined Swing Bed Unit | 101 S Major St, Eureka, IL 61530-1246 | 2010-01-20 |
| 1114199122 | Accuracy Urgent Care | Medicare Defined Swing Bed Unit | 805 W Deyoung St, Suite E, Marion, IL 62959-1604 | 2008-03-31 |
| 1174713440 | St Francis Hospital Sisters of The Third Order of St Francis | Medicare Defined Swing Bed Unit | 1215 Franciscan Dr, Box 1215, Litchfield, IL 62056-1778 | 2007-08-01 |
| Find all providers with the same taxonomy | ||||
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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.