Active NPI
Alton Memorial Hospital
- Psychiatric Hospital Unit
- Alton, IL
National Provider Identifier
1164615670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- ALTON MEMORIAL HOSPITAL
- Practice address
- 1 Memorial Dr
Alton, IL 62002-6722 - Phone
- (618) 463-7311
- Fax
- (314) 653-4153
- NPI assigned
- Aug 20, 2007
- Organization subpart
- Yes
- Parent organization
- ALTON MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Koesterer
- Title
- Vice President, Finance
- Phone
- (314) 653-5715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | IL | Primary |
Addresses
Primary practice location
1 Memorial Dr
Alton, IL 62002-6722
Mailing address
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7311
Other names 1
- Psychiatric Unit
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
National Provider Directory
National Provider Directory- Part of
- Alton Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1164615670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR",
"city": "ALTON",
"state": "IL",
"postal_code": "620026722",
"telephone_number": "618-463-7311",
"fax_number": "314-653-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR",
"city": "ALTON",
"state": "IL",
"postal_code": "620026722",
"telephone_number": "618-463-7311",
"fax_number": "314-653-4153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTON MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALTON MEMORIAL HOSPITAL",
"enumeration_date": "2007-08-20",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "KOESTERER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
"authorized_official_telephone_number": "314-653-5715",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1 Memorial Dr",
"city": "Alton",
"state": "IL",
"country_code": "US",
"postal_code": "620026722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Psychiatric Unit",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Psychiatric Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.