County of Mercer Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

0003772 Issued in IL

Legal business name

COUNTY OF MERCER HOSPITAL

Practice address

409 NW 9TH Ave
Aledo, IL 61231-1258

Phone

(309) 582-5301

Fax

(309) 582-3744

NPI assigned

Jul 26, 2005

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ted Rogalski

Title

Ceo

Phone

(309) 582-5301

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1093715799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NW 9TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311258",
            "telephone_number": "309-582-5301",
            "fax_number": "309-582-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NW 9TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311258",
            "telephone_number": "309-582-5301",
            "fax_number": "309-582-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MERCER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "ROGALSKI",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-582-5301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0003772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0006615001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0194",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Catton
• Lindsay Marie Chick, ARNP
• William Edward Comer, PTA
• County of Mercer (Mercer County Health Department)
• County of Mercer (Mercer County Probation)
• County of Mercer Hospital (Medical Associates Clinic)
• County of Mercer Hospital (Serenity Hospice)
• County of Mercer Hospital (Mercer County Hospital)
• County of Mercer Hospital
• County of Mercer Hospital (Mercer County Speciality Clinic)

• Critical Access Hospital in Aledo, IL
• Providers in Aledo, IL by specialty
• Critical Access Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.