Active NPI
Graham Hospital Association
- Family Medicine Physician
- Macomb, IL
National Provider Identifier
1134057896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRAHAM HOSPITAL ASSOCIATION
- Practice address
- 1701 W Jackson St
Macomb, IL 61455-3176 - Phone
- (309) 647-5240
- NPI assigned
- May 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Reeder
- Title
- Cfo
- Phone
- (309) 647-5240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1701 W Jackson St
Macomb, IL 61455-3176
Mailing address
210 W Walnut St
Canton, IL 61520-2497
Phone (309) 649-5240
National Provider Directory
National Provider Directory- Tax ID family
- Graham Hospital Association
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Galesburg, IL
- NPI 1063128601
-
- Rural Health Clinic/Center
- Glasford, IL
- NPI 1104604529
-
- Durable Medical Equipment & Medical Supplies
- Canton, IL
- NPI 1114938859
-
- Urgent Care Clinic/Center
- Canton, IL
- NPI 1124735402
-
- Skilled Nursing Facility
- Canton, IL
- NPI 1134236748
-
- Multi-Specialty Clinic/Center
- Galesburg, IL
- NPI 1134975576
-
- Rural Health Clinic/Center
- Canton, IL
- NPI 1144016197
-
- Rural Health Clinic/Center
- Galesburg, IL
- NPI 1144106071
-
- Critical Access Hospital
- Canton, IL
- NPI 1154117521
-
- General Acute Care Hospital
- Canton, IL
- NPI 1316597644
-
- Rural Health Clinic/Center
- Macomb, IL
- NPI 1336935386
-
- Family Medicine Physician
- Galesburg, IL
- NPI 1346093937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1134057896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W WALNUT ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202497",
"telephone_number": "309-649-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W JACKSON ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553176",
"telephone_number": "309-647-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAHAM HOSPITAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "REEDER",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "309-647-5240"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.