Active NPI
Hamilton Memorial Hospital District
Doing business as Hamilton Memorial Hospital Home Health Agency
- Home Health Agency
- McLeansboro, IL
National Provider Identifier
1710943907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1001486
- Legal business name
- HAMILTON MEMORIAL HOSPITAL DISTRICT
- Doing business as
- Hamilton Memorial Hospital Home Health Agency
- Practice address
- 112 S Washington St
MC Leansboro, IL 62859-1147 - Phone
- (618) 643-4415
- Fax
- (618) 643-4508
- NPI assigned
- Apr 25, 2006
- Last updated
- Aug 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Epperson
- Title
- Cfo
- Phone
- (618) 643-2361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1001486 | IL | Primary |
Addresses
Primary practice location
112 S Washington St
MC Leansboro, IL 62859-1147
Mailing address
611 S Marshall Ave
PO Box 429
MC Leansboro, IL 62859-1213
Phone (618) 643-4415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9705 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Hamilton Memorial Hospital Home Health Agency
National Provider Directory
National Provider DirectoryLocations
112 S Washington St
Mc Leansboro, IL 62859
Phone (618) 643-4415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754006400000",
"number": "1710943907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S MARSHALL AVE",
"address_2": "PO BOX 429",
"city": "MC LEANSBORO",
"state": "IL",
"postal_code": "628591213",
"telephone_number": "618-643-4415",
"fax_number": "618-643-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S WASHINGTON ST",
"city": "MC LEANSBORO",
"state": "IL",
"postal_code": "628591147",
"telephone_number": "618-643-4415",
"fax_number": "618-643-4508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON MEMORIAL HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-25",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A",
"authorized_official_last_name": "EPPERSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "618-643-2361",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1001486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9705",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hamilton Memorial Hospital Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McLeansboro, IL
- Hamilton County Cusd No 10
- Hamilton County Health Department
- Hamilton Memorial Hospital District
- Hamilton Memorial Hospital District (Downtown Family Clinic)
- Hamilton Memorial Hospital District (Hamilton Memorial Family Clinic)
- Hamilton Memorial Hospital District
- Hamilton Memorial Nursing and Rehabilitation Center, L.L.C. (Hamilton Memorial Rehabilitation & Health Care Center)
- Hamilton Memorial Nursing Center
- Hampton Care Group
- Harre Hamilton County Ambulance Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.