NPIMap

Organization Active NPI

Hoopeston Community Memorial Hospital

  • Critical Access Hospital
  • Hoopeston, IL
National Provider Identifier
1366480873
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0004200 Issued in 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
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Harry Brockus
Title
Ceo
Phone
(217) 283-8540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0004200 IL Primary

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 3

IdentifierTypeStateIssuer
131734500OtherILDEPARTMENT OF LABOR
005OtherILBCBS ACUTE
09215199OtherILBCBS PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, FL, MD, TX, KY, NY, HI, CA, SD, IN, AZ, TN, OH16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366480873. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 3, 1956 in IL
Enrollment address
701 E Orange St
Hoopeston, IL 60942-1801

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

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Carle Hoopeston Regional Health CenterCCN 141316 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Laura Williams Individual Corporate DirectorBoard Member Jan 1, 2022
Sally J Salmons Individual Corporate Director Jan 26, 2017
Allison Slocum Individual Corporate Director Jan 1, 2020
Karla J Coon Individual Corporate DirectorBoard Member Jan 1, 2021
William Nicholls Individual Corporate Director Jun 14, 2019
Heather Tucker Individual Corporate OfficerHospital Administrator Aug 14, 2020
Corporate DirectorHospital Administrator Aug 14, 2020
W-2 Managing EmployeeHospital Administrator Aug 14, 2020
The Carle Foundation Organization, Urbana, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2012 100%
Larry Baughn Individual Corporate DirectorBoard Member Jan 1, 2022
James C Leonard Individual Other Nov 1, 2012

Owners & managing parties with NPI records 1

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

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 550

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.

View all 550

Affiliated clinicians 172

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

View all 172

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1366480873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-283-5531",
            "fax_number": "217-283-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPESTON COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "BROCKUS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-283-8540"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0004200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "131734500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PC",
            "identifier": "09215199",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoopeston, IL

Sources for this page

Verify at the official NPI Registry.