Carle Eureka Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Eureka, IL
NPI 1629090402 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1629090402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 1706465 (IL)
- Legal business name
- CARLE EUREKA HOSPITAL
- Practice address
- 101 S Major St
Eureka, IL 61530-1246 - Phone
- (309) 467-2371
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Aron Klein
- Title
- Vice President Finance
- Phone
- (309) 268-2410
Owners & managing parties with NPI records 7
-
Steve Delis, MD
-
John C Kell, MD
-
Sue A Strayer, MD
-
Mary Kathleen Yoder, APRN, CNP
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 3
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 31
Practitioners 13
-
Paul R Naour, M.D.
-
Colby Lee Carr, MD
-
Kellie Dewitt, PHYSICIAN ASSISTANT
-
Shane C. Fogo, M.D.
-
Christopher R. Hughes, M.D.
-
Steven C. Ingalsbe, M.D.
-
Samantha A Leverton, APN
-
Jason Roach, PA-C
-
Samuel E. Steffen, M.D.
-
Nicholas Weber, DO
Affiliated clinicians 10
-
Saba Akram, MD
-
Ahmad Abdel Karim Jibawi, M.D.
-
Bijoy Shankar Kar, M.D.
-
Hector F Robles, M.D.
-
Gurpreet Singh, M.D
-
Debasis Dasgupta, M.D.
-
Zaw Win Phyo, M.B,B.S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Hospital certification: CCN 14Z309
- Legal name
- CARLE EUREKA HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 29, 2020 in IL
- Enrollment address
- 101 S Major St
Eureka, IL 61530-1246
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Brandi Ann Sweeney |
Corporate Director |
Sep 1, 2023 | |
| W-2 Managing Employee |
Sep 1, 2023 | ||
| Robert M Cavagnol |
Corporate Officer |
Feb 12, 2026 | |
| Corporate Director |
Feb 12, 2026 | ||
| W-2 Managing Employee |
Feb 12, 2026 | ||
| Charles a Dennis |
Corporate Director |
Jan 1, 2024 | |
| Delene Martin Bane |
Corporate Director |
Jan 1, 2026 | |
| Mary Kathleen Yoder |
Corporate Director |
Jan 1, 2018 | |
| Ronald L Greene |
Corporate Director |
Jan 1, 2015 | |
| Steven N Delis |
Corporate Director |
Sep 17, 2024 | |
| Carle Health - Central Region |
5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Arlene Hosea |
Corporate Director |
Jan 1, 2026 | |
| Andrea M Kane |
Corporate Director |
Jan 1, 2021 | |
| Sue Ann Strayer |
Corporate Director |
Jan 1, 2018 | |
| The Carle Foundation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Matthew Craig Kolb |
Corporate Director |
Jan 1, 2025 | |
| Jennifer Vance |
Corporate Director |
Jan 1, 2023 | |
| Stephen Christopher Pitcher |
Corporate Director |
Jan 1, 2026 | |
| John C Kell |
Corporate Director |
Jun 26, 2025 | |
| Brandon Bressner |
Corporate Director |
Jan 1, 2019 | |
| James C Leonard |
Operational/Managerial Control |
Jul 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200609000150 | IL | Part a Provider - Critical Access Hospital | 3870914393 |
Receives reassigned benefits from 3 practitioners Practice locations: Eureka, IL |
National Provider Directory
- Tax ID family
- Carle Eureka Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 1706465 | IL | Yes |
Addresses
Primary practice location
101 S Major St
Eureka, IL 61530-1246
Mailing address
101 S Major St
Eureka, IL 61530-1246
Phone (309) 467-2371
Other names
- Advocate Eureka Hospital
Other providers in Eureka, IL
- Tamra Brisbin
- Bromenn Healthcare, Inc.
- Bromenn Physicians Management Corporation
- Joseph Gerard Burns
- Carle Eureka Hospital
- Carle Eureka Hospital
- Jason Collins
- County of Woodford Eureka Congerville Goodfld Dist 140
- David Howard Crenshaw
- Michael T Detweiler
All providers in Eureka, IL · Medicare Defined Swing Bed Hospital Unit in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2020. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.