NPIMap

Organization Active NPI

Kewanee Hospital

  • Medical Specialty Clinic/Center
  • Kewanee, IL
National Provider Identifier
1598797193
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0005538 Issued in IL
Legal business name
KEWANEE HOSPITAL
Practice address
1051 W South St
Kewanee, IL 61443-9983
Phone
(309) 852-7500
Fax
(309) 852-7591
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Mr. John Bowser
Title
Cfo
Phone
(309) 852-7522

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Medical Specialty Clinic/Center 261QM2500X 0005538 IL Primary
Rural Health Clinic/Center 261QR1300X
Rural Health Clinic/Center 261QR1300X 0005538 IL

Addresses

Primary practice location

1051 W South St
Kewanee, IL 61443-9983

Mailing address

P.O. Box 747
1051 W South Street
Kewanee, IL 61443-9983
Phone (309) 852-7500

Other names 1

  • Kewanee Hospital Family Health Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1598797193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 747",
            "address_2": "1051 W SOUTH STREET",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614439983",
            "telephone_number": "309-852-7500",
            "fax_number": "309-852-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614439983",
            "telephone_number": "309-852-7500",
            "fax_number": "309-852-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWANEE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "BOWSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-852-7522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "0005538",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "0005538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kewanee Hospital Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kewanee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.