NPIMap

Organization Active NPI

Eureka Community Hospital

  • Critical Access Hospital
  • Eureka, IL
National Provider Identifier
1578747812
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0003574 Issued in IL
Legal business name
EUREKA COMMUNITY HOSPITAL
Practice address
101 S Major St
Eureka, IL 61530-1246
Phone
(309) 467-4004
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
BROMENN HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Mrs. Penny Cermak
Title
VP/Cfo
Phone
(309) 268-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0003574 IL Primary

Addresses

Primary practice location

101 S Major St
Eureka, IL 61530-1246

Mailing address

101 S Major St
Eureka, IL 61530-1246
Phone (309) 467-4004

Other identifiers 1

IdentifierTypeStateIssuer
801160OtherILMEICARE PART B

Other names 1

  • ECH Cardiology Other name

National Provider Directory

National Provider Directory
Tax ID family
Brokaw Hospital4 organizations share this tax ID, including this one
Part of
Brokaw Hospital

Other organizations with this tax ID 3

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1578747812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAJOR ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301246",
            "telephone_number": "309-467-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAJOR ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301246",
            "telephone_number": "309-467-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROMENN HEALTHCARE",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "CERMAK",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "309-268-5180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0003574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEICARE PART B",
            "identifier": "801160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECH Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eureka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.