Iroquois Memorial Hospital and Resident Home

A Medicare group practice based in Watseka, IL: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 4385551258), with 84 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385551258The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier -
Enrolled in
IL, IN
Enrollments
11
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 5 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20150513002309 IL Part A Provider - Rural Health Clinic 1447610472
O20020903000000 IL Part A Provider - Skilled Nursing Facility 1992894802
O20040517000306 IL Part B Supplier - Clinic/Group Practice 1629003470
O20050110000311 IL Part A Provider - Rural Health Clinic 1578580346
O20040920000977 IL Part A Provider - Hospice 1841295763
O20230928000367 IL Part A Provider - Critical Access Hospital 1629003470
O20260603000398 IL Part B Supplier - Ambulance Service Supplier 1972781698
O20230323000069 IL Part A Provider - Critical Access Hospital 1629003470
O20100603000659 IL Part A Provider - Rural Health Clinic 1366469132
O20100624000397 IN Part A Provider - Rural Health Clinic 1467470906
O20120220000788 IL Part A Provider - Home Health Agency 1366447617

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 84

Clinicians who reassign their Medicare benefits to this group (84) or whom Care Compare lists as members (7).

Sources for this page