Marion VA Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

194007504 Issued in IL

Legal business name

MARION VA HOSPITAL

Practice address

705 Pawnee Dr
Du Quoin, IL 62832-2557

Phone

(618) 997-5311

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Nicole Beltz, CRTNPI 1083963847

Title

Respiratory Therapist

Phone

(618) 997-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Nicole Beltz, CRT

  • Certified Respiratory Therapist
  • Marion, IL
  • NPI 1083963847
  NPD (past) Authorized official

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1497019095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PAWNEE DR",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322557",
            "telephone_number": "618-997-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PAWNEE DR",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322557",
            "telephone_number": "618-997-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "BELTZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "618-997-5311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "194007504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRT",
            "identifier": "194007504",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawne Malinski, LPN
• Shaheda M Mansuri, MD
• Manu Tongwarin MD LTD
• Otto F Mares, D.D.S.
• Marion Eye Centers LTD.
• Dean Marlow, BSW
• Marshall Browning Hospital Association
• Marshall Browning Hospital Association
• Marshall Browning Hospital Association
• Marshall Browning Hospital Association

• All providers in Du Quoin, IL
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.