NPIMap

Organization Active NPI

Midwest Medical Center

Doing business as Galena Stauss Nursing Home

  • Skilled Nursing Facility
  • Galena, IL
National Provider Identifier
1487978227
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0049718 Issued in IL
Legal business name
MIDWEST MEDICAL CENTER
Doing business as
Galena Stauss Nursing Home
Practice address
215 Summit St
Galena, IL 61036-1635
Phone
(815) 776-7255
Fax
(815) 776-7298
NPI assigned
Mar 23, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Ms. Mary R Sheahen
Title
Chief Executive Officer
Phone
(815) 776-7266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0049718 IL Primary

Addresses

Primary practice location

215 Summit St
Galena, IL 61036-1635

Mailing address

1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340

Other identifiers 1

IdentifierTypeStateIssuer
362487178002MedicaidIL

Other names 1

  • Galena Stauss Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090622000294 IL Part A Provider - Skilled Nursing Facility 5698771848 1 other NPI on this enrollment
Practice locations: Galena, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487978227. Details of each certification follow.

Skilled nursing facility certification: CCN 146140

Legal name
MIDWEST MEDICAL CENTER
Doing business as
GALENA STAUSS NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 17, 2010
Last certification
Oct 3, 2024
Beds
57
Ownership / control type
Other Nonprofit
Organization structure
OtherNon-profit
Incorporated
Jul 1, 2008 in IL
Enrollment address
215 Summit St
Galena, IL 61036-1635
Nursing home name
GALENA STAUSS NURSING HOME

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Galena Stauss Nursing HomeCCN 146140 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Feb 17, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5735.7 residents per day on average
Penalties (3 years)
2Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Midwest Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joel C Holland Individual Corporate DirectorBoard Member May 2, 2017
Marie a Wamsley Individual Corporate OfficerChief Financial Officer May 12, 2014
W-2 Managing EmployeeChief Financial Officer May 12, 2014
John M Lorenzen Individual Corporate DirectorBoard Member May 2, 2017
David R. Hey Individual Corporate DirectorBoard Member, Treasurer Jan 1, 2013
Robert L. Miller Individual Corporate DirectorBoard Member Secretary Jan 1, 2009
Garry W Thompson Individual Corporate DirectorBoard Member Dec 1, 2013
Mary Sheahen Individual Corporate DirectorBoard Member Chairperson Jan 1, 2012
Barbara K Sloan Individual Corporate DirectorBoard Member May 2, 2017
Helen R Kilgore Individual Corporate DirectorBoard Member Jan 1, 2007
Carol a Wrabl Individual Corporate DirectorBoard Member Jan 1, 2008
Vince E Toepfer Individual Corporate DirectorBoard Member, Vice Chair Jan 1, 2008
Tracy L Bauer Individual Corporate OfficerCeo Jan 26, 2009
Midwest Medical Foundation Organization, Galena, IL Non-profit 5% Or Greater Indirect Ownership Interest Apr 25, 2019 100%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1487978227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610368118",
            "telephone_number": "815-777-1340",
            "fax_number": "815-776-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361635",
            "telephone_number": "815-776-7255",
            "fax_number": "815-776-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "SHEAHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "815-776-7266",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0049718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362487178002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galena Stauss Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galena, IL

Sources for this page

Verify at the official NPI Registry.