Active NPI
Ingalls Memorial Hospital
- Psychiatric Hospital Unit
- Harvey, IL
National Provider Identifier
1043307580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 0001099
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.