Katherine Shaw Bethea Hospital-Snu

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

0000497 Issued in IL

Legal business name

KATHERINE SHAW BETHEA HOSPITAL-SNU

Practice address

403 E 1St St
Dixon, IL 61021-3116

Phone

(815) 288-5531

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vernon Farrell

Title

Vice President of Finance

Phone

(815) 285-5511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447245147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-288-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-288-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE SHAW BETHEA HOSPITAL-SNU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "815-285-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "0000497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Shaw Bethea Hospital
• Katherine Shaw Bethea Hospital
• Katherine Shaw Bethea Hospital
• Katherine Shaw Bethea Hospital
• Katherine Shaw Bethea Hospital-DME
• Jacqueline D Keck
• Carlee Renee Kelly, LCSW
• Samantha Anne Kelly, BAMHP
• Stacie Kemp
• Jesse Paul Kent

• Rehabilitation Hospital Unit in Dixon, IL
• Providers in Dixon, IL by specialty
• Rehabilitation Hospital Unit in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.