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Hoopeston Community Memorial Hospital

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Hoopeston, IL

NPI 1720021074 · NPPES record last updated Jul 12, 2007

Key facts

NPI
1720021074
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
0004200 (IL)
Legal business name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Practice address
701 E Orange St
Hoopeston, IL 60942-1801
Phone
(217) 283-5531
Fax
(217) 283-7981
NPI assigned
Jun 14, 2006
Organization subpart
No

Authorized official

Name
Ms. Marje K Barber
Title
Director of Patient Accounts
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).

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 187

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

View all 187

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Hospital certification: CCN 14Z316

Legal name
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Doing business as
CARLE HOOPESTON REGIONAL HEALTH CENTER
Organization structure
Corporation · Non-profit
Incorporated
Apr 3, 1956 in IL
Enrollment address
701E Orange St
Hoopeston, IL 60942-1801

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
Board Member		 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 		5% Or Greater Direct Ownership Interest Nov 1, 2012 100%
Operational/Managerial Control Nov 1, 2012
Larry Baughn
Individual 		Corporate Director
Board Member		 Jan 1, 2022
James C Leonard
Individual 		Other Nov 1, 2012

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130226000001 IL Part a Provider - Critical Access Hospital 3577456037 Practice locations: Hoopeston, IL

National Provider Directory

Locations

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0004200 IL Yes

Addresses

Primary practice location

701 E Orange St
Hoopeston, IL 60942-1801

Mailing address

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

Other providers in Hoopeston, IL

All providers in Hoopeston, IL · Medicare Defined Swing Bed Hospital Unit in Illinois

Sources for this page

Verify at the official NPI Registry.