City of Clinton

Organization Active NPI Critical Access Hospital · Clinton, IL

NPI 1235211301 · NPPES record last updated Jun 29, 2023

Key facts

NPI
1235211301
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
0001164 (IL)
Legal business name
CITY OF CLINTON
Practice address
422 W White St
Clinton, IL 61727-2272
Phone
(217) 935-9571
Fax
(217) 937-5262
NPI assigned
Oct 19, 2006
Organization subpart
No

Authorized official

Name
Mr. Paul Skowron
Title
Ceo/Administrator
Phone
(217) 935-9571

Owners & managing parties with NPI records 2

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 4

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 19

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

Affiliated clinicians 67

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

View all 67

Medicare Care Compare: Hospital

Listed as
Warner Hospital and Health Services CCN 141303
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Hospital certification: CCN 141303

Legal name
CITY OF CLINTON
Doing business as
WARNER HOSPITAL AND HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2000
Last certification
Dec 20, 2022
Beds
25
Ownership / control type
Local
Organization structure
Government · Proprietary
Enrollment address
422W White St
Clinton, IL 61727-2272
Hospital Swing-Bed Unit

All disclosed owners & managing parties 3

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

NameRoleSinceShare
City of Clinton
Organization · Clinton, IL
5% Or Greater Direct Ownership Interest Oct 1, 2009 100%
Donna Wisner
Individual
W-2 Managing Employee Oct 1, 2009
Paul Skowron
Individual
W-2 Managing Employee
Ceo
Feb 1, 2015

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Warner Hospital & Health Services
Clinton, IL · CCN 143404
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091216000520 IL Part a Provider - Critical Access Hospital 0042203127 Practice locations: Clinton, IL

National Provider Directory

Tax ID family
John Warner Hospital (5 organizations share this tax ID)

Interoperability endpoints

  • Direct secure messaging: jennifer.sheler@direct.warnerhospital.org
  • Direct secure messaging: maureen.wilson@direct.warnerhospital.org
  • Direct secure messaging: farrukh.kureishy@direct.warnerhospital.org
  • Direct secure messaging: natasha.minnaert@direct.warnerhospital.org
  • Direct secure messaging: angie.cunningham@direct.warnerhospital.org
  • Direct secure messaging: whhs.him@direct.warnerhospital.org
  • Direct secure messaging: sidney.rohrscheib@direct.warnerhospital.org
  • Direct secure messaging: audrey.shoemaker@direct.warnerhospital.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0001164 IL Yes

Addresses

Primary practice location

422 W White St
Clinton, IL 61727-2272

Mailing address

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

Other identifiers

IdentifierTypeStateIssuer
0172OtherILBLUE CROSS

Other names

  • Warner Hospital and Health Services Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address whhs.him@direct.warnerhospital.org Direct

Other providers in Clinton, IL

All providers in Clinton, IL · Critical Access Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.