NPIMap

Organization Active NPI

Hopedale Medical Foundation

Doing business as Hopedale Medical Complex

  • Durable Medical Equipment & Medical Supplies
  • Hopedale, IL
National Provider Identifier
1275616740
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOPEDALE MEDICAL FOUNDATION
Doing business as
Hopedale Medical Complex
Practice address
107 Tremont St.
Hopedale, IL 61747-0267
Phone
(309) 449-3321
NPI assigned
Oct 20, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Mr. Mark F. Rossi
Title
C.O.O.
Phone
(309) 449-4394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

107 Tremont St.
Hopedale, IL 61747-0267

Mailing address

107 Tremont
Hopedale, IL 61747-0267
Phone (309) 449-3321

Other names 1

  • Hopedale Medical Complex Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hopedale Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1275616740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TREMONT",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617470267",
            "telephone_number": "309-449-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST.",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617470267",
            "telephone_number": "309-449-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEDALE MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "309-449-4394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.