Organization Active NPI

Ingalls Memorial Hospital

  • Psychiatric Hospital Unit
  • Harvey, IL
National Provider Identifier
1043307580
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0001099 Issued in IL
Legal business name
INGALLS MEMORIAL HOSPITAL
Practice address
One Ingalls Drive
Harvey, IL 60426-3558
Phone
(708) 915-6107
Fax
(708) 915-2099
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
THE INGALLS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raymond Arthur Neiswonger
Title
President
Phone
(708) 915-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0001099 IL Primary

Addresses

Primary practice location

One Ingalls Drive
Harvey, IL 60426-3558

Mailing address

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 915-6107

Other names 1

  • The Ingalls Memorial Hospital Other name

National Provider Directory

National Provider Directory
Part of
Ingalls Memorial Hospit

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1043307580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "708-915-6107",
            "fax_number": "708-915-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE INGALLS DRIVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263558",
            "telephone_number": "708-915-6107",
            "fax_number": "708-915-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGALLS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE INGALLS MEMORIAL HOSPITAL",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "NEISWONGER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-915-6111"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0001099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ingalls Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.