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Organization Active NPI

Hoopeston Community Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Hoopeston, IL
National Provider Identifier
1720021074
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0004200 Issued in 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
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Ms. Marje K Barber
Title
Director of Patient Accounts
Phone
(217) 283-5531

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720021074. Details of each certification follow.

Hospital certification: CCN 14Z316

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2732 Navajo Rd
Ste 100
El Cajon, CA 92020
Phone (619) 266-3332

2315 Stockton Blvd
Rm 1707
Sacramento, CA 95817

Ownership & related parties

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 DirectorBoard 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 DirectorBoard Member Jan 1, 2021
William Nicholls Individual Corporate Director Jun 14, 2019
Heather Tucker Individual Corporate OfficerHospital Administrator Aug 14, 2020
Corporate DirectorHospital Administrator Aug 14, 2020
W-2 Managing EmployeeHospital 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 DirectorBoard Member Jan 1, 2022
James C Leonard Individual Other Nov 1, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1720021074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-283-5531",
            "fax_number": "217-283-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-283-5531",
            "fax_number": "217-283-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPESTON COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MARJE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "217-283-5531",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "0004200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoopeston, IL

Sources for this page

Verify at the official NPI Registry.