NPIMap

Organization Active NPI

Valley West Community Hospital

  • Critical Access Hospital
  • Sandwich, IL
National Provider Identifier
1316002520
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
VALLEY WEST COMMUNITY HOSPITAL
Practice address
11 E Pleasant Ave
Sandwich, IL 60548-1100
Phone
(815) 786-8484
Fax
(815) 786-3705
NPI assigned
Dec 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christine Zydek
Title
Director of Finance
Phone
(815) 766-7338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X IL
Critical Access Hospital 282NC0060X IL Primary

Addresses

Primary practice location

11 E Pleasant Ave
Sandwich, IL 60548-1100

Mailing address

PO Box 904
Dekalb, IL 60115-0904
Phone (815) 786-8484

Other identifiers 2

IdentifierTypeStateIssuer
01923041OtherILIL BC 1500
049299OtherILHEALTH ALLIANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202000065 IL Part B Supplier - Clinic/Group Practice 6507769957 Receives reassigned benefits from 12 practitioners
Practice locations: Sandwich, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316002520. Details of each certification follow.

Hospital certification: CCN 140203

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VALLEY WEST COMMUNITY HOSPITAL
Certification status
Terminated Other: provider status change, Aug 2, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 23, 1992
Beds
84
Ownership / control type
Other
Most recent change of ownership
Sep 10, 1998 (1 total)
Facility address
11 East Pleasant Avenue
Sandwich, IL 60548

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Valley West Community H3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316002520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 904",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601150904",
            "telephone_number": "815-786-8484",
            "fax_number": "815-786-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E PLEASANT AVE",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481100",
            "telephone_number": "815-786-8484",
            "fax_number": "815-786-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY WEST COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZYDEK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "815-766-7338"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BC 1500",
            "identifier": "01923041",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "049299",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

Verify at the official NPI Registry.