ANNA HOSPITAL CORPORATION (NPI# 1912975533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912975533 |
Entity Type | Organization |
Organization Name | ANNA HOSPITAL CORPORATION |
Other Organization Name | CONVENIENT CARE CLINIC |
Practice Address |
517 N Main St Anna IL 62906-1668 |
Mailing Address |
Po Box 60545 Saint Louis MO 63160-0545 |
Practice Telephone | 6188332295 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-08-11 |
Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 6152213840 |
Is Organization Subpart | Y |
Parent Organization Name | ANNA HOSPITAL CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0002824 | IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Convenient Care Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750553863 | Anna Hospital Corporation | Family Medicine | 517 North Main, Anna, IL 62906-1668 | 2008-03-28 |
1881681591 | Anna Hospital Corporation | Skilled Nursing Facility | 521 N Main St, Anna, IL 62906-1622 | 2005-09-29 |
1477907780 | Anna Hospital Corporation | Family Medicine | 517 N Main St, Anna, IL 62906-1668 | 2016-04-22 |
1538347448 | Anna Hospital Corporation | Pharmacy | 517 N Main St, Anna, IL 62906-1668 | 2008-02-01 |
1265540488 | Anna Hospital Corporation | General Acute Care Hospital | 517 N Main St, Anna, IL 62906-1668 | 2006-08-28 |
1285606509 | Anna Hospital Corporation | Medicare Defined Swing Bed Unit | 517 N Main St, Anna, IL 62906-1668 | 2006-02-02 |
Street Address |
517 N MAIN ST |
City | ANNA |
State | IL |
Zip Code | 62906-1668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336129642 | Anna Home Care Services LLC | Home Health | 517 N Main St, Anna, IL 62906-1668 | 2006-01-20 |
1013567734 | Cassy A Coleman | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2019-09-14 |
1104300094 | Elizabeth Shallenberger | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2018-09-18 |
1477907780 | Anna Hospital Corporation | Family Medicine | 517 N Main St, Anna, IL 62906-1668 | 2016-04-22 |
1386064996 | Holly A Wilke | Registered Nurse | 517 N Main St, Anna, IL 62906-1668 | 2014-04-22 |
1215378955 | Midwest Neurosurgeons, LLC | Neurological Surgery | 517 N Main St, Anna, IL 62906-1668 | 2013-07-10 |
1942645411 | Russell John Kinsey | Physician Assistant | 517 N Main St, Anna, IL 62906-1668 | 2013-05-09 |
1437444163 | Everett Lee Shaw | Physician Assistant | 517 N Main St, Anna, IL 62906-1668 | 2011-06-10 |
1770894263 | Bradley Michael Kutka | Emergency Medicine | 517 N Main St, Anna, IL 62906-1668 | 2010-06-29 |
1538347448 | Anna Hospital Corporation | Pharmacy | 517 N Main St, Anna, IL 62906-1668 | 2008-02-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265711600 | Community Integrated Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Jeni Lane, Anna, IL 62906 | 2011-08-16 |
1508153768 | Union County Counseling Services Inc | Clinic/Center | 202 South St, Anna, IL 62906 | 2011-07-07 |
1326335589 | Union County Counseling Services Inc | Clinic/Center | 302 South St, Anna, IL 62906 | 2011-07-07 |
1063709228 | Union County Counseling Services Inc | Community Based Residential Treatment Facility, Mental Illness | 311 W Vienna St, Anna, IL 62906 | 2011-07-07 |
1598920928 | Steven Wayne Vincent | Dentist | 131 West Vienna Street, Anna, IL 62906 | 2008-07-24 |
1427236900 | Cardinal House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Douglas Street, Anna, IL 62906 | 2008-02-06 |
1992913719 | High Chiropractic Center | Chiropractor | 35 Walton Lane, Anna, IL 62906 | 2007-05-18 |
1023235678 | Chuck C. Bugle | Psychologist | 311 W. Spring St., Anna, IL 62906 | 2007-04-18 |
1922194604 | Nancy Kay Webb | Physical Therapist | 515 E Vienna Street, Suite I, Anna, IL 62906 | 2006-10-04 |
1144242918 | William W Mings | Psychiatry & Neurology | 204 South St, Anna, IL 62906 | 2006-07-24 |
Find all providers in zip 62906 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538689062 | Southern Illinois Medical Services, Nfp | Clinic/Center | 98 Peach Ridge Rd, Anna, IL 62906-2243 | 2017-06-26 |
1457807869 | Siu Physicians & Surgeons, Inc | Clinic/Center | 608 S Main St, Anna, IL 62906-1247 | 2016-08-27 |
1043497548 | Rural Health, Inc. | Clinic/Center | 608 S Main St, Anna, IL 62906-1247 | 2008-01-28 |
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1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
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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.