NPIMap

Organization Active NPI

Galesburg Hospital Corporation

Doing business as Galesburg Cottage Hospital

  • Skilled Nursing Facility
  • Galesburg, IL
National Provider Identifier
1659342434
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0005330 Issued in IL
Legal business name
GALESBURG HOSPITAL CORPORATION
Doing business as
Galesburg Cottage Hospital
Practice address
695 N Kellogg St
Galesburg, IL 61401-2807
Phone
(309) 343-8131
Fax
(309) 343-2393
NPI assigned
Jan 30, 2006
Organization subpart
Yes
Parent organization
GALESBURG HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Tara P Richardson
Title
Authorized Official
Phone
(615) 221-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0005330 IL Primary

Addresses

Primary practice location

695 N Kellogg St
Galesburg, IL 61401-2807

Mailing address

PO Box 504047
Saint Louis, MO 63150-4047

Other names 1

  • Galesburg Cottage Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Galesburg Hosp Corp

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1659342434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504047",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-8131",
            "fax_number": "309-343-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALESBURG HOSPITAL CORPORATION",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0005330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galesburg Cottage Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.