NPIMap

Organization Active NPI

Rockford Health Physician

  • Critical Access Hospital
  • Rockford, IL
National Provider Identifier
1477567857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ROCKFORD HEALTH PHYSICIAN
Practice address
2400 N Rockton Ave
Rockford, IL 61103-3655
Phone
(815) 742-1255
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin Ruggles, M.D.
Title
Chief Physician Executive
Phone
(815) 971-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

2400 N Rockton Ave
Rockford, IL 61103-3655

Mailing address

18566 W Point Dr
Tinley Park, IL 60477-4931
Phone (708) 429-9364

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477567857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18566 W POINT DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774931",
            "telephone_number": "708-429-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ROCKTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033655",
            "telephone_number": "815-742-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD HEALTH PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUGGLES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF PHYSICIAN EXECUTIVE",
        "authorized_official_telephone_number": "815-971-7270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • 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.