NPIMap

Organization Active NPI

Hammond Henry Dist Hospital

Doing business as Hammond Henry Hospital Medical Group

  • Rural Health Clinic/Center
  • Geneseo, IL
National Provider Identifier
1093213308
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HAMMOND HENRY DIST HOSPITAL
Doing business as
Hammond Henry Hospital Medical Group
Practice address
600 N College Ave
Geneseo, IL 61254-1007
Phone
(309) 944-1275
Fax
(309) 520-2567
NPI assigned
Feb 1, 2018
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Rhonda Rice
Title
PFS Manager
Phone
(309) 944-9122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

600 N College Ave
Geneseo, IL 61254-1007

Mailing address

600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 944-6431

Other names 1

  • Hammond Henry Hospital Medical Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mailbox@xdrhammondhenryrhp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040505000524 IL Part B Supplier - Clinic/Group Practice 0143115949 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Geneseo, IL
O20170511000385 IL Part B Supplier - Clinic/Group Practice 0143115949 Receives reassigned benefits from 36 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Annawan, IL; Cambridge, IL; Geneseo, IL; Kewanee, IL; Orion, IL; Wyoming, IL
O20180221000798 IL Part A Provider - Rural Health Clinic 0143115949 Practice locations: Geneseo, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093213308. Details of each certification follow.

Rural health clinic certification: CCN 148587

Legal name
HAMMOND HENRY DIST HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 16, 2018
Last certification
May 16, 2018
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
600 N College Ave
Ste 120
Geneseo, IL 61254-1092
Related CCNs
141319

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hammond Henry Dist Hospital Organization, Geneseo, IL 5% Or Greater Direct Ownership Interest May 1, 2018
Heather D Charlet Individual W-2 Managing EmployeeCno Jul 3, 2022
Kimberly Gehling Individual Corporate OfficerVice Chair Jun 1, 2025
Douglas Ford Individual Corporate OfficerChair Jun 1, 2025
Nancy Lang Individual Corporate OfficerTreasurer Jun 1, 2025
Wyatt Brieser Individual Corporate OfficerCeo Aug 26, 2025
W-2 Managing EmployeeCeo Aug 26, 2025
Jodie Criswell Individual Corporate OfficerVP of Fiscal Services May 19, 2011
W-2 Managing EmployeeVP of Fiscal Services May 19, 2011

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hammond Henry Dist HospitalGeneseo, IL, CCN 14Z319 Hospital Operational/Managerial Control Jun 4, 2002
Home Health of Hammond Henry HospitalGeneseo, IL, CCN 147450 Home health agency Operational/Managerial Control Aug 22, 2025
Hammond Henry Dist HospitalKewanee, IL, CCN 148576 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2017
Hammond Henry Annawan ClinicAnnawan, IL, CCN 148615 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1093213308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541091",
            "telephone_number": "309-944-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541007",
            "telephone_number": "309-944-1275",
            "fax_number": "309-520-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND HENRY DIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PFS MANAGER",
        "authorized_official_telephone_number": "309-944-9122"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mailbox@xdrhammondhenryrhp.org",
            "affiliation": "N",
            "endpointDescription": "Use this address for all providers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 N College Ave",
            "city": "Geneseo",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612541091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hammond Henry Hospital Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneseo, IL

Sources for this page

Verify at the official NPI Registry.