Hoopeston Community Memorial Hospital
Organization Active NPI Critical Access Hospital · Hoopeston, IL
NPI 1366480873 · NPPES record last updated Nov 27, 2013
Key facts
- NPI
- 1366480873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 0004200 (IL)
- Legal business name
- HOOPESTON COMMUNITY MEMORIAL HOSPITAL
- Practice address
- 701 E Orange St
Hoopeston, IL 60942-1801 - Phone
- (217) 283-5531
- Fax
- (217) 283-7981
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Harry Brockus
- Title
- Ceo
- Phone
- (217) 283-8540
Owners & managing parties with NPI records 1
-
Sally J Salmons, MD
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 10
Related certifications (CCN) 8
Facilities with the same owner 31
Practitioners 576
-
Brian Robert Beeman, M.D.
-
J Eric D Castro, MD
-
Jessica Cook, FNP
-
Bradley Wayne Grissom, N.P.
-
James Hlubocky, M.D.
-
Jeremy Hogg, MD
-
Jason M Huston, D.O.
-
Juan J Jimenez, M.D.
-
Joselyn Joseph, MD
-
Behrang Khoie, M.D.
-
Elizabeth Kuntz, MD
-
Martin Kuntz III, MD
-
Audrey T Lam, MD
-
Connie C Langellier, APRN-FPA, FNP-C
-
Malec A Mokraoui, MD
-
Mbu Mongwa, M.D.
-
Douglas W Morton, M.D.
Affiliated clinicians 172
-
Naveed A Adoni I, MD
-
Joel R Alfeche, MD
-
Eswara V Asapu, MD
-
Corbin Barwegen, M.D.
-
Brian Robert Beeman, M.D.
-
Kayla Blundy, NP
-
Andrea Brasch, MD
-
Karen M Broaders, MD
-
Duat Bui, D.O
-
Edward Caballero, MD
-
Timothy H Camden, MD
-
J Eric D Castro, MD
-
Andrew Chang, MD
-
Daniel Mark Chase, M.D.
-
Sarah M Cheatham, NP
-
Tsungyen Chen, M.D.
-
Jessica Cook, FNP
Medicare Care Compare: Hospital
- Listed as
- Carle Hoopeston Regional Health Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (16 enrollments) in IL, MO, FL, MD, TX, KY, NY, HI, CA, SD, IN, AZ, TN, OH
Hospital certification: CCN 141316
- Legal name
- HOOPESTON COMMUNITY MEMORIAL HOSPITAL
- Doing business as
- CARLE HOOPESTON REGIONAL HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Nov 1, 2001
- Last certification
- Oct 27, 2012
- Beds
- 23
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 3, 1956 in IL
- Enrollment address
- 701 E Orange St
Hoopeston, IL 60942-1801
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Williams |
Corporate Director |
Jan 1, 2022 | |
| Sally J Salmons |
Corporate Director | Jan 26, 2017 | |
| Allison Slocum |
Corporate Director | Jan 1, 2020 | |
| Karla J Coon |
Corporate Director |
Jan 1, 2021 | |
| William Nicholls |
Corporate Director | Jun 14, 2019 | |
| Heather Tucker |
Corporate Officer |
Aug 14, 2020 | |
| Corporate Director |
Aug 14, 2020 | ||
| W-2 Managing Employee |
Aug 14, 2020 | ||
| The Carle Foundation |
5% Or Greater Direct Ownership Interest | Nov 1, 2012 | 100% |
| Larry Baughn |
Corporate Director |
Jan 1, 2022 | |
| James C Leonard |
Other | Nov 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000745 | IL | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 89 practitioners 1 other NPI on this enrollment Practice locations: Hoopeston, IL |
| O20040210000011 | IL | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 494 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Watseka, IL; Urbana, IL; Peoria, IL; Mattoon, IL; Hoopeston, IL; Downers Grove, IL; Chicago, IL; Champaign, IL… |
| O20101124000762 | IL | Part a Provider - Critical Access Hospital | 3577456037 |
Receives reassigned benefits from 58 practitioners 1 other NPI on this enrollment Practice locations: Danville, IL; Hoopeston, IL; Tuscola, IL |
| O20220606001782 | MO | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Saint Louis, MO |
| O20220609002420 | FL | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Miami, FL |
| O20220611000291 | MD | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Baltimore, MD |
| O20220613000446 | TX | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Coppell, TX |
| O20220930002524 | KY | Part B Supplier - Clinic/Group Practice | 3577456037 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY |
| O20221007001959 | NY | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Niskayuna, NY; Victor, NY |
| O20230309000854 | HI | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kailua, HI |
| O20240105002419 | CA | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Diego, CA |
| O20250414003299 | SD | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Harrisburg, SD |
| O20250616002640 | IN | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Crawfordsville, IN; Zionsville, IN |
| O20251007002294 | AZ | Part B Supplier - Clinic/Group Practice | 3577456037 |
1 other NPI on this enrollment Practice locations: Paradise Valley, AZ |
| O20251215001278 | TN | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Franklin, TN |
| O20260123001544 | OH | Part B Supplier - Clinic/Group Practice | 3577456037 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Solon, OH |
National Provider Directory
Locations
847 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5644
2512 Hurst Dr
#130
Mattoon, IL 61938
Phone (217) 258-5900
845 S 4th St
Watseka, IL 60970
Phone (815) 432-2461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 0004200 | IL | Yes |
Addresses
Primary practice location
701 E Orange St
Hoopeston, IL 60942-1801
Mailing address
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 383-6792
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005 | Other | IL | BCBS ACUTE |
| 131734500 | Other | IL | DEPARTMENT OF LABOR |
| 09215199 | Other | IL | BCBS PC |
Other providers in Hoopeston, IL
- Hoopeston Area Cusd 11
- Hoopeston Community Ambulance Service
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
- Hoopeston Community Memorial Hospital
All providers in Hoopeston, IL · Critical Access Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.