Iroquois Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IROQUOIS MEMORIAL HOSPITAL

Doing business as

IMH Sheldon Clinic

Practice address

160 E Grove St
Sheldon, IL 60966

Phone

(815) 429-3314

Fax

(815) 429-3490

NPI assigned

Jul 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen O Leurck

Title

Ceo

Phone

(815) 432-7736

Specialties & licenses 1

Addresses

Other names 1

• IMH Sheldon Clinic Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780604371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E GROVE",
            "city": "SHELDON",
            "state": "IL",
            "postal_code": "60966",
            "telephone_number": "815-429-3314",
            "fax_number": "815-429-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E GROVE ST",
            "city": "SHELDON",
            "state": "IL",
            "postal_code": "60966",
            "telephone_number": "815-429-3314",
            "fax_number": "815-429-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEURCK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-432-7736"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMH Sheldon Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Association for the Betterment of Retarded Adults (Abra)
• Jodie M Havens, M.S. CCC-SLP/L
• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Peggy McRoberts, OTR
• Petersen Health Enterprises LLC (Sheldon Health Care Center)
• Angela L Pitsenberger, M.S.W., L.C.S.W.

• Rural Health Clinic/Center in Sheldon, IL
• Providers in Sheldon, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.