NPIMap

Organization Active NPI

Iroquois Memorial Hospital & Resident Home

Doing business as Iroquois Womens Health

  • Clinic/Center
  • Watseka, IL
National Provider Identifier
1740538958
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME
Doing business as
Iroquois Womens Health
Practice address
625 S 5TH St
Suite a
Watseka, IL 60970-1835
Phone
(815) 432-0740
Fax
(815) 432-0742
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Chuck Bohlmann
Title
Ceo
Phone
(815) 432-7736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

625 S 5TH St
Suite a
Watseka, IL 60970-1835

Mailing address

625 S 5TH St
Suite a
Watseka, IL 60970-1835
Phone (815) 432-0740

Other names 1

  • Iroquois Womens Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iroquios Memorial Hospi15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1740538958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S 5TH ST",
            "address_2": "SUITE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701835",
            "telephone_number": "815-432-0740",
            "fax_number": "815-432-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S 5TH ST",
            "address_2": "SUITE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701835",
            "telephone_number": "815-432-0740",
            "fax_number": "815-432-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS MEMORIAL HOSPITAL & RESIDENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "BOHLMANN",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-432-7736"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iroquois Womens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.