NPIMap

Organization Active NPI

Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
National Provider Identifier
1386744795
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0001255 Issued in IL
Legal business name
LAWRENCE COUNTY MEMORIAL HOSPITAL
Practice address
2200 State St
Lawrenceville, IL 62439-1852
Phone
(618) 943-7249
Fax
(618) 943-7229
NPI assigned
Sep 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gerald H Klein
Title
Cfo
Phone
(618) 943-7202

Practitioners 20

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

View all 20

National Provider Directory

National Provider Directory

Locations

2111 Lexington Ave
Ste 1
Lawrenceville, IL 62439
Phone (618) 943-7214

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0001255 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2200 State St
Lawrenceville, IL 62439-1852

Mailing address

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-7249

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5115002OtherILBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2009.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1386744795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-943-7249",
            "fax_number": "618-943-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-943-7249",
            "fax_number": "618-943-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-943-7202"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0001255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5115002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.