NPIMap

Organization Active NPI

Hoopeston Community Memorial Hospital

Doing business as Carle Danville Clinic

  • Rural Health Clinic/Center
  • Danville, IL
National Provider Identifier
1669802419
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Doing business as
Carle Danville Clinic
Practice address
516 W Madison St
Danville, IL 61832-5657
Phone
(217) 431-7600
Fax
(217) 431-7850
NPI assigned
Nov 14, 2013
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Heather Tucker
Title
Administrator
Phone
(217) 283-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

516 W Madison St
Danville, IL 61832-5657

Mailing address

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 383-6792

Other names 1

  • CARLE DANVILLE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140130000298 IL Part A Provider - Rural Health Clinic 3577456037 Practice locations: Danvlle, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669802419. Details of each certification follow.

Rural health clinic certification: CCN 148531

Legal name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Doing business as
CARLE DANVILLE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 1, 2013
Last certification
Mar 23, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 30, 1956 in IL
Enrollment address
516 W Madison St
Stes 105, 301, 402
Danvlle, IL 61832-5657
Related CCNs
140091

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hoopeston Community11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Williams Individual Corporate Director Jan 1, 2022
Sally J Salmons Individual Corporate Director Jan 26, 2017
Allison Slocum Individual Corporate Director Jan 1, 2020
Karla J Coon Individual Corporate DirectorBoard Member Jan 1, 2021
William Nicholls Individual Corporate Director Jun 14, 2019
Heather Tucker Individual Corporate OfficerHospital Administrator Aug 14, 2020
Corporate DirectorHospital Administrator Aug 14, 2020
W-2 Managing EmployeeHospital Administrator Aug 14, 2020
The Carle Foundation Organization, Urbana, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2013 100%
Larry Baughn Individual Corporate Director Jan 1, 2022
James C Leonard Individual Operational/Managerial ControlChain Home Office Administrator Nov 19, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1669802419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W MADISON ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325657",
            "telephone_number": "217-431-7600",
            "fax_number": "217-431-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPESTON COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-283-5531"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARLE DANVILLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.