NPIMap

Organization Active NPI

Kewanee Hospital

  • Rehabilitation Hospital Unit
  • Kewanee, IL
National Provider Identifier
1154644367
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
056002565 Issued in IL
Legal business name
KEWANEE HOSPITAL
Practice address
1051 W South St
Kewanee, IL 61443-8354
Phone
(309) 852-7500
Fax
(309) 852-7552
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Mrs. Marki Stamatiades
Title
Business Office Director
Phone
(309) 852-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 056002565 IL Primary

Addresses

Primary practice location

1051 W South St
Kewanee, IL 61443-8354

Mailing address

PO Box 747
Kewanee, IL 61443-0747
Phone (309) 852-7500

National Provider Directory

National Provider Directory
Tax ID family
Kewanee Homecare DME4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1154644367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614430747",
            "telephone_number": "309-852-7500",
            "fax_number": "309-852-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7500",
            "fax_number": "309-852-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWANEE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "STAMATIADES",
        "authorized_official_first_name": "MARKI",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "309-852-7540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "056002565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewanee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.