NPIMap

Organization Active NPI

McDonough County Hospital District

  • Podiatrist
  • Macomb, IL
National Provider Identifier
1780192013
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MCDONOUGH COUNTY HOSPITAL DISTRICT
Practice address
437 E Grant St
Macomb, IL 61455-3311
Phone
(309) 837-3964
NPI assigned
Jan 22, 2018
Organization subpart
Yes
Parent organization
MCDONOUGH COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Linda Kathleen Dace
Title
VP of Finance
Phone
(309) 833-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

437 E Grant St
Macomb, IL 61455-3311

Mailing address

515 E Grant St
Attn MMG Financial Services
Macomb, IL 61455-3368
Phone (309) 836-1730

Other names 1

  • MDH Foot and Ankle Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McDonough Dist Hosp Nuc20 organizations share this tax ID, including this one
Part of
McDonough Dist Hosp Nuc

Other organizations with this tax ID 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1780192013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GRANT ST",
            "address_2": "ATTN MMG FINANCIAL SERVICES",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553368",
            "telephone_number": "309-836-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553311",
            "telephone_number": "309-837-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDONOUGH COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "DACE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "309-833-4101"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDH Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.