Healther Providers Data Logo


Provider Type Icon

HOOPESTON COMMUNITY MEMORIAL HOSPITAL NPI 1578504544


NPI Information

NPI: 1578504544
Provider Name: HOOPESTON COMMUNITY MEMORIAL HOSPITAL

Doing Business As: CHARLOTTE ANN RUSSELL MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D0878378

Address:
801 E ORANGE ST
HOOPESTON, IL
ZIP 60942
Phone: (214) 283-5644
Get Directions

HOOPESTON COMMUNITY MEMORIAL HOSPITAL is a rural health clinic center in Hoopeston, IL. HOOPESTON COMMUNITY MEMORIAL HOSPITAL NPI is 1578504544. The provider is registered as an organization entity type.
The provider Is Doing Business As Charlotte Ann Russell Medical Center.

The provider's business location address is:

801 E ORANGE ST
HOOPESTON, IL
ZIP 60942-802
Phone: (214) 283-5644
Fax: (217) 283-7432

The provider's authorized official is Harry Brockus .
The authorized official title is Ceo and has the following contact phone number (217) 283-8540.

The CLIA number assigned to this NPI record is 14D0878378 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 5/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health0004200ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19222940OTHERILLINOISBCBS
2143448MEDICARE ID-TYPE UNSPECIFIEDILLINOISRHC
3210220MEDICARE ID-TYPE UNSPECIFIEDILLINOISPART B CLINIC PAS
4573370MEDICARE ID-TYPE UNSPECIFIEDILLINOISPART B CLINIC DOCTORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »