Pana Community Hospital Association
Organization Active NPI Family Medicine Physician · Assumption, IL
NPI 1487843959 · NPPES record last updated Nov 5, 2018
Key facts
- NPI
- 1487843959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PANA COMMUNITY HOSPITAL ASSOCIATION
- Practice address
- 118 N Walnut St
Assumption, IL 62510-1082 - Phone
- (217) 226-3133
- Fax
- (217) 226-4311
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Miss Lisa Marie Bloemer
- Title
- Office Manager
- Phone
- (217) 562-2544
Other NPIs on the same Medicare enrollment 6
Practitioners 3
-
Debra L Anklam, APN
-
Dennis D. Yap, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000350 | IL | Part B Supplier - Clinic/Group Practice | 3274437348 |
Receives reassigned benefits from 97 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Moweaqua, IL; Ramsey, IL; Pana, IL; Nokomis, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
118 N Walnut St
Assumption, IL 62510-1082
Mailing address
118 N Walnut St
Assumption, IL 62510-1082
Phone (217) 226-3133
Other names
- COMMUNITY MEDICAL CLINIC OF ASSUMPTION
Other providers in Assumption, IL
- Kemmerer Village Inc.
- Kemmerer Village Inc.
- Metzger Health Care Pharmacy
- Amber Miller
- Pana Community Hospital Association
- Pana Community Hospital Association
- Courtney Lynn Rowcliffe
- Rebecca Marie Throneburg
All providers in Assumption, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.