NPIMap

Organization Active NPI

Hardin County General Hospital

  • Land Ambulance
  • Rosiclare, IL
National Provider Identifier
1679220149
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HARDIN COUNTY GENERAL HOSPITAL
Practice address
6 Ferrell Rd
Rosiclare, IL 62982-1052
Phone
(618) 285-6634
Fax
(618) 285-3564
NPI assigned
Mar 4, 2022
Organization subpart
Yes
Parent organization
HARDIN COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Roby Williams
Title
Ceo
Phone
(618) 285-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6 Ferrell Rd
Rosiclare, IL 62982-1052

Mailing address

PO Box 2467
Rosiclare, IL 62982-2467
Phone (618) 285-6634

Other names 1

  • Hardin County General Hospital Ambulance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanjay Bose MD4 organizations share this tax ID, including this one
Part of
Sanjay Bose MD

Other organizations with this tax ID 3

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

Locations

6 Ferrell Rd
Rosiclare, IL 62982
Phone (618) 285-6634

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1679220149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2467",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "629822467",
            "telephone_number": "618-285-6634",
            "fax_number": "618-285-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FERRELL RD",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "629821052",
            "telephone_number": "618-285-6634",
            "fax_number": "618-285-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARDIN COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-285-6634"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hardin County General Hospital Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosiclare, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.