INGALLS MEMORIAL HOSPITAL NPI 1801132105

NPI Information

NPI: 1801132105
Provider Name: INGALLS MEMORIAL HOSPITAL
Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization
Address:
15620 WOOD ST
HARVEY, IL
ZIP 60426
Phone: (708) 915-4229
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INGALLS MEMORIAL HOSPITAL is a rehabilitation hospital in Harvey, IL. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. INGALLS MEMORIAL HOSPITAL NPI is 1801132105. The provider is registered as an organization entity type.

The provider's business location address is:

15620 WOOD ST
HARVEY, IL
ZIP 60426-171
Phone: (708) 915-4229

The provider's authorized official is Curt Johnson .
The authorized official title is Ceo and has the following contact phone number (708) 333-2300.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.

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
1	251E00000X	Home Health		146002609	ILLINOIS	No
2	252Y00000X	Early Intervention Provider Agency		146002609	ILLINOIS	No
3	282N00000X	General Acute Care Hospital		146002609	ILLINOIS	No
4	311ZA0620X	Custodial Care Facility	Adult Care Home	146002609	ILLINOIS	No
5	314000000X	Skilled Nursing Facility		146002609	ILLINOIS	No
6	283X00000X	Rehabilitation Hospital		146002609	ILLINOIS	Yes

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
1	362170866001	MEDICAID	ILLINOIS
2	362170866002	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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