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Hoopeston Community Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Danville, IL

NPI 1669802419 · NPPES record last updated Feb 6, 2025

Key facts

NPI
1669802419
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Practice address
516 W Madison St
Danville, IL 61832-5657
Phone
(217) 431-7600
Fax
(217) 431-7850
NPI assigned
Nov 14, 2013
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 10

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

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

Facilities with the same owner 31

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

View all 31

Practitioners 142

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 142

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

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
Corporation · Non-profit
Incorporated
Apr 30, 1956 in IL
Enrollment address
516 W Madison St
Stes 105, 301, 402
Danvlle, IL 61832-5657
Related CCNs
140091

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 Director
Board Member		 Jan 1, 2021
William Nicholls
Individual 		Corporate Director Jun 14, 2019
Heather Tucker
Individual 		Corporate Officer
Hospital Administrator		 Aug 14, 2020
Corporate Director
Hospital Administrator		 Aug 14, 2020
W-2 Managing Employee
Hospital 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 Control
Chain Home Office Administrator		 Nov 19, 2017

Medicare enrollment records

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

National Provider Directory

Tax ID family
Hoopeston Hospital Ambu (11 organizations share this tax ID)

Specialties & licenses

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

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

  • CARLE DANVILLE CLINIC Doing business as

Other providers in Danville, IL

All providers in Danville, IL · Rural Health Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.