MCDONOUGH COUNTY HOSPITAL DISTRICT (NPI# 1770974909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770974909 |
| Entity Type | Organization |
| Organization Name | MCDONOUGH COUNTY HOSPITAL DISTRICT |
| Other Organization Name | MCDONOUGH DISTRICT HOSPITAL |
| Practice Address |
525 E Grant St Macomb IL 61455-3313 |
| Practice Telephone | 3098334101 |
| Mailing Telephone | 3098334101 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | KENNY BOYD JR. (CEO) |
| Authorized Official Telephone | 3098334101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0001438 | IL | Hospital Units |
| Other Name | Type Code |
|---|---|
| McDonough District Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841386190 | Mcdonough County Hospital District | Skilled Nursing Facility | 525 E. Grant, Macomb, IL 61455-3313 | 2006-10-05 |
| 1770100414 | Mcdonough County Hospital District | Clinic/Center | 505 E Grant St Ste 202, Macomb, IL 61455-3373 | 2020-06-29 |
| 1235755372 | Mcdonough County Hospital District | Clinic/Center | 515 E Grant St Ste 213, Macomb, IL 61455-3378 | 2020-06-24 |
| 1780192013 | Mcdonough County Hospital District | Podiatrist | 437 E Grant St, Macomb, IL 61455-3311 | 2018-01-22 |
| 1851705370 | Mcdonough County Hospital District | General Acute Care Hospital | 525 E Grant St, Macomb, IL 61455-3313 | 2014-06-12 |
| 1881032985 | Mcdonough County Hospital District | Otolaryngology | 515 E Grant St, Macomb, IL 61455-3368 | 2013-06-11 |
| 1992041511 | Mcdonough County Hospital District | Family Medicine | 155 W Hail St, Bushnell, IL 61422-1346 | 2012-12-31 |
| 1356698310 | Mcdonough County Hospital District | Pediatrics | 505 E Grant St, Suite 202, Macomb, IL 61455-3352 | 2012-08-09 |
| 1093083511 | Mcdonough County Hospital District | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2011-12-12 |
| 1336436765 | Mcdonough County Hospital District | Clinic/Center | 1600 E Jackson St, Macomb, IL 61455-2530 | 2011-07-06 |
| Street Address |
525 E GRANT ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329627 | Richard C Watson | Pathology | 525 E Grant St, Macomb, IL 61455-3313 | 2006-01-05 |
| 1700413481 | Macomb Emergency Physicians LLC | Emergency Medicine | 525 E Grant St, Macomb, IL 61455-3313 | 2020-03-24 |
| 1932748159 | Josie Lee Bauer | Counselor | 525 E Grant St, Macomb, IL 61455-3318 | 2020-01-06 |
| 1215408968 | Ladawna Jo Royer | Nurse Practitioner | 525 E Grant St, Macomb, IL 61455-3313 | 2018-12-06 |
| 1053895953 | Naomi R Polley | Family Medicine | 525 E Grant St, Macomb, IL 61455-3318 | 2018-09-18 |
| 1427534684 | Leah Jean Rybakowski | Counselor | 525 E Grant St, Macomb, IL 61455-3313 | 2018-07-11 |
| 1467954974 | Alissa Sue Fisk | Counselor | 525 E Grant St, Macomb, IL 61455-3313 | 2018-03-01 |
| 1023531142 | Kelsi D Cunningham | Nurse Practitioner | 525 E Grant St, Macomb, IL 61455-3313 | 2017-07-20 |
| 1093268724 | Megan Clemens | Nurse Practitioner | 525 E Grant St, Macomb, IL 61455-3313 | 2016-07-29 |
| 1982050415 | Kaye Stone | Nurse Practitioner | 525 E Grant St, Macomb, IL 61455-3313 | 2016-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
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| 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 |
|---|---|---|---|---|
| 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 |
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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.