Cornerstone Healthcare of Illinois, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0005108 Issued in IL

Legal business name

CORNERSTONE HEALTHCARE OF ILLINOIS, INC.

Doing business as

White County Medical Center

Practice address

400 Plum St
Carmi, IL 62821-1751

Phone

(618) 382-4171

Fax

(618) 382-3628

NPI assigned

Jul 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James R. Cheek

Title

Ceo

Phone

(618) 382-4171

Specialties & licenses 1

Addresses

Other names 1

• White County Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1225036262. Details of each certification follow.

• CCN 140107 Hospital · Terminated · Name & address match · Details
• CCN 141314 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 140107

Legal name

CORNERSTONE HEALTHCARE OF ILLINOIS INC

Certification status

Terminated Other: provider status change, Jul 1, 2001

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Nov 14, 1996

Beds

146 (48 certified)

Ownership / control type

Hospital district or authority

Most recent change of ownership

Feb 7, 2000 (1 total)

Facility address

400 Plum Street
Carmi, IL 62821

Hospital certification: CCN 141314

Legal name

CORNERSTONE HEALTHCARE OF ILLINOIS

Certification status

Terminated Voluntary: merger or closure, Dec 22, 2005

Provider type (POS)

Hospital – Critical access hospital

Participating since

Jul 1, 2001

Last certification

Jan 5, 2006

Beds

25

Ownership / control type

Local

Facility address

400 Plum Street
Carmi, IL 62821

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225036262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PLUM ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211751",
            "telephone_number": "618-382-4171",
            "fax_number": "618-382-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLUM ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211751",
            "telephone_number": "618-382-4171",
            "fax_number": "618-382-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTHCARE OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-382-4171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0005108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Greater Area Rural Health Planning Corporation (Carmi Community Health Center)
• Keri Dawn Clark, RN
• Clint T Taylor OD LLC
• Community Health & Emergency Services, Inc
• Audrey Coons
• County of White
• Amy Renee Courson
• Jennifer Cross
• Angela J Day, L.C.S.W.
• Deaconess Specialty Physicians, Inc

• General Acute Care Hospital in Carmi, IL
• Providers in Carmi, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.