Decatur Memorial Hospital

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DECATUR MEMORIAL HOSPITAL

Doing business as

DMH Medical Equipment Co.

Practice address

2875 N Water St
Decatur, IL 62526-4233

Phone

(217) 876-4040

Fax

(217) 876-4075

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Linda Fahey

Title

Coo

Phone

(217) 876-2119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DMH Medical Equipment Co. Doing business as

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1184751273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 BRETTWOOD CIR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262425",
            "telephone_number": "217-876-4040",
            "fax_number": "217-876-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 N WATER ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264233",
            "telephone_number": "217-876-4040",
            "fax_number": "217-876-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "FAHEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "217-876-2119"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "5870764",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMH Medical Equipment Co.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMH Medical Equipment Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Decatur Hco, LLC
• Decatur Healthcare LLC
• Decatur Macon County Opportunity Corporation
• Decatur Manor Healthcare, LLC
• Decatur Memorial Hospital
• Decatur Memorial Hospital
• Decatur Memorial Hospital
• Decatur Memorial Hospital
• Decatur Memorial Hospital
• Decatur Memorial Hospital

• Durable Medical Equipment & Medical Supplies in Decatur, IL
• Providers in Decatur, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.