Hammond Henry Dist Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Geneseo, IL
NPI 1740397447 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1740397447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- HAMMOND HENRY DIST HOSPITAL
- Practice address
- 600 N College Ave
Geneseo, IL 61254-1007 - Phone
- (309) 944-9160
- Fax
- (309) 520-2561
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Jodie Criswell
- Title
- Cfo
- Phone
- (309) 944-6431
Owners & managing parties with NPI records 6
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 6
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 89
-
Carlos Miguel Avila, M.D.
-
Jennifer Brokaw, F.N.P.
-
Jill Clong, NP-C
-
Allison Jo David, DC, ATC
-
Kati Grimes, FNP-C
-
Manoj Kohli, MD
-
Owen James McConnell, DC, ATC, LAT
-
Cassandra Olson, ARNP
-
Sandra L. Peach, APN
-
David W Prygon, CNRA
-
Loren L Soria, MD
-
Katie Anne Sowder, APN
-
Caitlyn Windsor, APRN
-
Elyse Wolf, APN
-
Waseem Ahmad, MD
-
Cole Asay, CRNA
-
Lubna Hashmi, MD
-
Darshan Hullon, DO
-
Lori Anderson, DNP, APN, FNP-BC, AT
-
Emily Rose Bess, MSN, APRN, FNP-C
-
Staci Lynne Circello, APRN
Affiliated clinicians 2
-
Remigijus Satkauskas, M.D.
-
Crystal Snider, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Hospital certification: CCN 14Z319
- Legal name
- HAMMOND HENRY DIST HOSPITAL
- Organization structure
- Government · Non-profit
- Enrollment address
- 600 N College Ave
Geneseo, IL 61254-1091
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Hammond Henry Dist Hospital |
Operational/Managerial Control | Jun 4, 2002 | |
| Kimberly Gehling |
Corporate Officer |
Jun 1, 2025 | |
| Douglas Ford |
Corporate Officer |
Jun 1, 2025 | |
| Julie Atwell |
Corporate Director |
Jan 1, 2008 | |
| Nancy Lang |
Corporate Officer |
Jun 1, 2025 | |
| Wyatt Brieser |
W-2 Managing Employee |
Aug 26, 2025 | |
| Mark J Kuhn |
Contracted Managing Employee |
Oct 23, 2017 | |
| Corporate Officer |
Oct 23, 2017 | ||
| Jodie Criswell |
Corporate Officer |
May 19, 2011 | |
| W-2 Managing Employee |
May 19, 2011 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Home Health of Hammond Henry Hospital |
Home health agency | Operational/Managerial Control | Aug 22, 2025 |
| Hammond Henry Dist Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2017 |
| Hammond Henry Dist Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest | May 1, 2018 |
| Hammond Henry Annawan Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220827000077 | IL | Part a Provider - Critical Access Hospital | 0143115949 | Practice locations: Geneseo, IL |
National Provider Directory
Locations
60 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 344-5777
600 N College Ave
Ste 210
Geneseo, IL 61254
Phone (309) 944-0245
1001 Division St
Orion, IL 61273
Phone (309) 526-3957
101 S Galena Ave
Wyoming, IL 61491
Phone (309) 695-4441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | IL | Yes |
Addresses
Primary practice location
600 N College Ave
Geneseo, IL 61254-1007
Mailing address
600 N College Ave
Geneseo, IL 61254-1091
Other names
- SWING BED UNIT
Other providers in Geneseo, IL
- Hammmond Henry Retail Pharmacy
- Hammond Henry Dist Hospital
- Hammond Henry Dist Hospital
- Hammond Henry Dist Hospital
- Hammond Henry Dist Hospital
- Hammond Henry Hospital
- Hammond Henry Hospital
- Hammond Henry Hospital
- Hammond Henry Hospital
- Hammond Henry Hospital
All providers in Geneseo, IL · Medicare Defined Swing Bed Hospital Unit in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.