Hoopeston Community Memorial Hospital
Organization Active NPI Internal Medicine Physician · Hoopeston, IL
NPI 1043683014 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1043683014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HOOPESTON COMMUNITY MEMORIAL HOSPITAL
- Practice address
- 701 E Orange St
Hoopeston, IL 60942-1801 - Phone
- (217) 283-5531
- Fax
- (217) 283-7981
- NPI assigned
- Nov 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Harry Brockus
- Title
- Ceo
- Phone
- (217) 283-8540
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 10
Practitioners 507
-
Naveed A Adoni I, MD
-
Lisa R. Ballinger, M.A., LCPC
-
Brian Robert Beeman, M.D.
-
Kayla Blundy, NP
-
Andrea Brasch, MD
-
Karen M Broaders, MD
-
Duat Bui, D.O
-
Edward Caballero, MD
-
Timothy H Camden, MD
-
Kristine Ross Carpenter, M.D.
-
J Eric D Castro, MD
-
Daniel Mark Chase, M.D.
-
Sarah M Cheatham, NP
-
Jessica Cook, FNP
-
Thomas Deschler, MD
-
Amber Dust, APRN, CNP
-
James R Egner, MD
-
Kristine Ehlers, MS, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (14 enrollments) in IL, MO, FL, MD, TX, KY, NY, HI, CA, SD, IN, AZ, TN, OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040210000011 | IL | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 494 practitioners 2 other NPIs on this enrollment Practice locations: Watseka, IL; Urbana, IL; Peoria, IL; Mattoon, IL; Hoopeston, IL; Downers Grove, IL; Chicago, IL; Champaign, IL… |
| O20220606001782 | MO | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Louis, MO |
| O20220609002420 | FL | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami, FL |
| O20220611000291 | MD | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD |
| O20220613000446 | TX | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Coppell, TX |
| O20220930002524 | KY | Part B Supplier - Clinic/Group Practice | 3577456037 |
1 other NPI on this enrollment Practice locations: Louisville, KY |
| O20221007001959 | NY | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Niskayuna, NY; Victor, NY |
| O20230309000854 | HI | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Kailua, HI |
| O20240105002419 | CA | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: San Diego, CA |
| O20250414003299 | SD | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Harrisburg, SD |
| O20250616002640 | IN | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crawfordsville, IN; Zionsville, IN |
| O20251007002294 | AZ | Part B Supplier - Clinic/Group Practice | 3577456037 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Paradise Valley, AZ |
| O20251215001278 | TN | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Franklin, TN |
| O20260123001544 | OH | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Solon, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | |||
| Anesthesiology Physician |
207L00000X | |||
| Dermatology Physician |
207N00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Clinical & Laboratory Immunology (Internal Medicine) Physician |
207RI0001X | |||
| Nephrology Physician |
207RN0300X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Medical Oncology Physician |
207RX0202X | |||
| Colon & Rectal Surgery Physician |
208C00000X |
Addresses
Primary practice location
701 E Orange St
Hoopeston, IL 60942-1801
Mailing address
701 E Orange St
Provider Enrollment Office-BWPC
Hoopeston, IL 60942-1801
Phone (217) 383-6941
Other names
- Hoopeston Physician Group
Other providers in Hoopeston, IL
- Sowmya Gurukar
- Hayley Hambleton
- Highland Park CVS LLC
- Hoopeston Area Cusd 11
- Hoopeston Community Ambulance Service
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
All providers in Hoopeston, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.