NPIMap

Organization Active NPI

Eureka Community Hospital

  • Critical Access Hospital Clinic/Center
  • Eureka, IL
National Provider Identifier
1689859795
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
0003574 Issued in IL
Legal business name
EUREKA COMMUNITY HOSPITAL
Practice address
101 S Major St
Eureka, IL 61530-1246
Phone
(309) 467-4004
NPI assigned
Jan 8, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BROMENN HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mrs. Penny Cermak
Title
VP/Cfo
Phone
(309) 268-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 0003574 IL Primary

Addresses

Primary practice location

101 S Major St
Eureka, IL 61530-1246

Mailing address

101 S Major St
Eureka, IL 61530-1246
Phone (309) 467-4004

Other identifiers 1

IdentifierTypeStateIssuer
801140OtherILMEDICARE PART B

Other names 1

  • ECH Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Stephen Kindred4 organizations share this tax ID, including this one
Part of
Stephen Kindred

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1689859795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAJOR ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301246",
            "telephone_number": "309-467-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAJOR ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301246",
            "telephone_number": "309-467-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROMENN HEALTHCARE",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "CERMAK",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "309-268-5180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "IL",
            "license": "0003574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "801140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECH Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eureka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.