NPIMap

Organization Active NPI

Deaconess Regional Healthcare Services Illinois Inc

Doing business as Deaconess Illinois Medical Center

  • General Acute Care Hospital
  • Marion, IL
National Provider Identifier
1750007266
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC
Doing business as
Deaconess Illinois Medical Center
Heartland Regional Medical Center
Practice address
3333 W Deyoung St
Marion, IL 62959-5884
Phone
(618) 998-7000
Fax
(618) 998-7449
NPI assigned
Oct 17, 2022
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Jason Andrew Hinkle
Title
Cfo
Phone
(618) 998-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3333 W Deyoung St
Marion, IL 62959-5884

Mailing address

PO Box 631947
Cincinnati, OH 45263-1947
Phone (618) 998-7000

Other names 2

  • Deaconess Illinois Medical Center Doing business as
  • Heartland Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230320002572 IL Part A Provider - Hospital 8628367620 Practice locations: Marion, IL
O20230505000154 IL Part A Provider - Hospital 8628367620 Practice locations: Marion, IL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1750007266. Details of each certification follow.

Hospital certification: CCN 140184

Legal name
DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC
Doing business as
DEACONESS ILLINOIS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 19, 2009
Beds
92
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Enrollment address
3333 W Deyoung St
Marion, IL 62959-5884
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 14U184

Legal name
DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC
Doing business as
HEARTLAND REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
3333 W Deyoung St
Marion, IL 62959-5884
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Heartland Regional Medical CenterCCN 140184 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Regional Healthcare Services Illinois Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

310 E Sloan St
Harrisburg, IL 62946
Phone (618) 252-9282

3331 W Deyoung St
Ste 200
Marion, IL 62959
Phone (618) 998-7907

3331 W Deyoung St
Ste 306
Marion, IL 62959
Phone (618) 998-7643

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Hinkle Individual Corporate DirectorChief Financial Officer Nov 1, 2025 20%
W-2 Managing Employee Nov 1, 2025
Anthony Wielt Individual Corporate OfficerTreasurer Aug 1, 2023 100%
Corporate DirectorBoard Member Aug 1, 2023 20%
Corporate DirectorBoard Member Aug 1, 2023 20%
Marc J Florence Individual Corporate DirectorBoard Member Oct 3, 2022 20%
Clifford E Morris Individual Corporate OfficerSecretary Aug 1, 2023 100%
Corporate DirectorBoard Member Dec 12, 2022 20%
William Davis Individual Corporate OfficerPresident Dec 1, 2023 100%
W-2 Managing Employee Nov 1, 2025
Deaconess Health System Inc Organization, Evansville, IN Corporation, Non-profit Other Jan 14, 2023 100%
Jeffrey a Justice Individual Corporate DirectorBoard Member Dec 12, 2022 20%
Stephen T Titzer Individual Corporate OfficerChair Aug 1, 2023 100%
Corporate DirectorBoard Member Dec 12, 2022 20%
Shawn W McCoy Individual OtherCeo-Chain Home Office Jan 14, 2023 100%
Harold G Clarida Individual Corporate OfficerVice Chair Aug 1, 2023 100%
Corporate DirectorBoard Member Dec 12, 2022 20%
Corporate OfficerVice Chair Aug 1, 2023 100%

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ferrell HospitalEldorado, IL, CCN 141324 Hospital Operational/Managerial Control (100%) Feb 25, 2016
Deaconess Illinois CrossroadsMount Vernon, IL, CCN 140294 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022
Deaconess Illinois Union CountyAnna, IL, CCN 141342 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022
Red Bud Regional HospitalRed Bud, IL, CCN 141348 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022
Red Bud Regional HospitalRed Bud, IL, CCN 14Z348 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022
Ferrell HospitalEldorado, IL, CCN 14Z324 Skilled nursing facility Operational/Managerial Control (100%) Feb 25, 2016
Crossroads Family Medicine of Wayne CityWayne City, IL, CCN 148523 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022
Red Bud Health ClinicRed Bud, IL, CCN 148514 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022
Deaconess Illinois Crossroads Family Clinic - Mt. VernonMount Vernon, IL, CCN 148605 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2022

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 319

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

View all 319

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1750007266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631947",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631947",
            "telephone_number": "618-998-7000",
            "fax_number": "618-998-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "618-998-7000",
            "fax_number": "618-998-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-998-7020"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Illinois Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.