NPIMap

Organization Active NPI

Hoopeston Community Memorial Hospital

Doing business as Hoopeston Community Ambulance

  • Ambulance
  • Hoopeston, IL
National Provider Identifier
1164594594
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Doing business as
Hoopeston Community Ambulance
Practice address
701 E Orange St
Hoopeston, IL 60942-1801
Phone
(217) 283-5531
Fax
(217) 283-7981
NPI assigned
Nov 14, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Larry Tyrrell
Title
Cfo
Phone
(217) 283-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

701 E Orange St
Hoopeston, IL 60942-1801

Mailing address

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

Other names 1

  • Hoopeston Community Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000762 IL Part A Provider - Critical Access Hospital 3577456037 Receives reassigned benefits from 58 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Danville, IL; Hoopeston, IL; Tuscola, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164594594. Details of each certification follow.

Hospital certification: CCN 141316

Legal name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Doing business as
CARLE HOOPESTON REGIONAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2001
Last certification
Oct 27, 2012
Beds
23
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1956 in IL
Enrollment address
701 E Orange St
Hoopeston, IL 60942-1801

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Carle Hoopeston Regional Health CenterCCN 141316 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Hoopeston Community11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Laura Williams Individual Corporate DirectorBoard Member Jan 1, 2022
Sally J Salmons Individual Corporate Director Jan 26, 2017
Allison Slocum Individual Corporate Director Jan 1, 2020
Karla J Coon Individual Corporate DirectorBoard Member Jan 1, 2021
William Nicholls Individual Corporate Director Jun 14, 2019
Heather Tucker Individual Corporate OfficerHospital Administrator Aug 14, 2020
Corporate DirectorHospital Administrator Aug 14, 2020
W-2 Managing EmployeeHospital Administrator Aug 14, 2020
The Carle Foundation Organization, Urbana, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2012 100%
Larry Baughn Individual Corporate DirectorBoard Member Jan 1, 2022
James C Leonard Individual Other Nov 1, 2012

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

  • Lu Ye, MD
    • Family Medicine Physician
    • Danville, IL
    • NPI 1619130317
    NPD

Affiliated clinicians 172

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 172

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1164594594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-283-5531",
            "fax_number": "217-283-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-283-5531",
            "fax_number": "217-283-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPESTON COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "TYRRELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-283-5531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoopeston Community Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoopeston, IL

Sources for this page

Verify at the official NPI Registry.