Organization Active NPI

Hamilton Memorial Hospital District

Doing business as Hamilton Memorial Hospital Home Health Agency

  • Home Health Agency
  • McLeansboro, IL
National Provider Identifier
1710943907
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1001486 Issued in IL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9705OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Hamilton Memorial Hospital Home Health Agency Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.