NPIMap

Organization Active NPI

Galesburg Hospital Corporation

Doing business as Galesburg Cottage Hospital

  • General Acute Care Hospital
  • Galesburg, IL
National Provider Identifier
1447221312
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0005330 Issued in IL
Legal business name
GALESBURG HOSPITAL CORPORATION
Doing business as
Galesburg Cottage Hospital
Practice address
695 N Kellogg St
Galesburg, IL 61401-2807
Phone
(309) 343-8131
Fax
(309) 343-2393
NPI assigned
Jan 30, 2006
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Tara P Richardson
Title
Authorized Official
Phone
(615) 221-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0005330 IL Primary

Addresses

Primary practice location

695 N Kellogg St
Galesburg, IL 61401-2807

Mailing address

PO Box 504047
Saint Louis, MO 63150-4047

Other identifiers 4

IdentifierTypeStateIssuer
115918OtherHEALTHLINK
A6140100OtherJOHN DEERE
000982OtherHEALTH ALLIANCE
50280OtherBCBS

Other names 1

  • Galesburg Cottage Hospital Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1447221312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504047",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-8131",
            "fax_number": "309-343-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0005330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "115918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A6140100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "000982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galesburg Cottage Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.