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Organization Active NPI

Hopedale Medical Foundation

  • Critical Access Hospital
  • Hopedale, IL
National Provider Identifier
1174569438
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1706400 Issued in IL
Legal business name
HOPEDALE MEDICAL FOUNDATION
Practice address
107 Tremont
Hopedale, IL 61747-0267
Phone
(309) 449-3321
Fax
(309) 449-5441
NPI assigned
Jun 22, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Alfred Nello Rossi, M.D.
Title
Ceo
Phone
(309) 449-4338

Owners & managing parties with NPI records 3

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

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

Affiliated clinicians 56

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

View all 56

Care Compare: Hospital

Medicare Care Compare
Listed as
Hopedale HospitalCCN 141330
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Medicare participation

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

Hospital certification: CCN 141330

Medicare enrollment files
Legal name
HOPEDALE MEDICAL FOUNDATION
Doing business as
HOPEDALE MEDICAL COMPLEX
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2003
Last certification
Feb 21, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Jun 7, 1961 in IL
Enrollment address
107 Tremont St
Hopedale, IL 61747-7525

All disclosed owners & managing parties 9

Medicare enrollment files

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

NameRoleSinceShare
Emily Whitson Individual Contracted Managing Employee Jan 1, 2020
Corporate OfficerCoo Jan 1, 2020
Corporate Director Jan 1, 2020
W-2 Managing Employee Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Donald G Oswald Individual Corporate Officer Jan 20, 2011
Joan Harrison Individual Corporate OfficerBoard Member Jan 1, 2023
Christopher Campbell Individual Corporate OfficerBoard Member Jun 1, 1992
Thomas C Hieser Individual Corporate OfficerBoard Member Jun 30, 1995
Nicholas Brandl Rossi Individual Corporate Officer Jan 1, 2023
Matthew Rossi Individual Corporate Officer Jun 1, 1992
Alfred N Rossi Individual Corporate Officer Jan 28, 2001
Roland E Rich Individual Corporate Officer May 30, 1997

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080502000295 IL Part a Provider - Critical Access Hospital 1153363577 Receives reassigned benefits from 13 practitioners
Practice locations: Hopedale, IL

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1706400 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

107 Tremont
Hopedale, IL 61747-0267

Mailing address

PO Box 267
Hopedale, IL 61747-0267
Phone (309) 449-3321

Other names 1

NPPES NPI Registry
  • Hopedale Medical Complex Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2023.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1174569438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617470267",
            "telephone_number": "309-449-3321",
            "fax_number": "309-449-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617470267",
            "telephone_number": "309-449-3321",
            "fax_number": "309-449-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEDALE MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "NELLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-449-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "1706400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopedale Medical Complex",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hopedale Medical Complex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopedale, IL

Sources for this page

Verify at the official NPI Registry.