NPIMap

Organization Active NPI

Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
National Provider Identifier
1780692087
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
GRAHAM HOSPITAL ASSOCIATION
Practice address
210 W Walnut St
Canton, IL 61520-2497
Phone
(309) 647-5240
NPI assigned
Aug 3, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Julie Reeder
Title
VP of Finance/Cfo
Phone
(309) 647-5240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Critical Access Hospital 282NC0060X Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

210 W Walnut St
Canton, IL 61520-2497

Mailing address

210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240

Other practice location 1

2028 N Seminary St
Galesburg, IL 61401-4559
Phone (309) 570-1333

Other practice location 2

1174 N Seminary St
Galesburg, IL 61401-2858
Phone (309) 570-1333

Other identifiers 1

IdentifierTypeStateIssuer
0000869OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040203000055 IL Part B Supplier - Clinic/Group Practice 2769375021 Receives reassigned benefits from 6 practitioners
Practice locations: Canton, IL
O20040510000873 IL Part B Supplier - Clinic/Group Practice 2769375021 Receives reassigned benefits from 139 practitioners
13 other NPIs on this enrollment
Practice locations: Galesburg, IL; Williamsfield, IL; Macomb, IL; Lewistown, IL; Glasford, IL; Farmington, IL; Elmwood, IL; Canton, IL
O20080805000190 IL Part A Provider - Rural Health Clinic 2769375021 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewistown, IL
O20080811000262 IL Part A Provider - Rural Health Clinic 2769375021 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canton, IL
O20080812000150 IL Part A Provider - Rural Health Clinic 2769375021 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Farmington, IL
O20170522000286 IL Part B Supplier - Intensive Cardiac Rehabilitation 2769375021 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Canton, IL

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1780692087. Details of each certification follow.

Rural health clinic certification: CCN 143493

Legal name
GRAHAM HOSPITAL ASSOCIATION
Doing business as
GRAHAM MEDICAL GROUP-LEWISTOWN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2008
Last certification
Jan 3, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 16, 1905 in IL
Enrollment address
408 S Main St
Lewistown, IL 61542-1563
Related CCNs
140001

Rural health clinic certification: CCN 143492

Legal name
GRAHAM HOSPITAL ASSOCIATION
Doing business as
GRAHAM MEDICAL GROUP-CANTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2008
Last certification
Jan 27, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 21, 1905 in IL
Enrollment address
180 S Main St
Canton, IL 61520-2608
Related CCNs
141356

Rural health clinic certification: CCN 143494

Legal name
GRAHAM HOSPITAL ASSOCIATION
Doing business as
GRAHAM MEDICAL GROUP FARMINGTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2008
Last certification
Aug 20, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 21, 1905 in IL
Enrollment address
601 E Fort St
Farmington, IL 61531-1338
Related CCNs
140001

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Locations

126 N Main St
Canton, IL 61520

435 E 3rd St
Galesburg, IL 61401

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Allison Sours Individual Corporate OfficerPresident and Ceo Jan 5, 2026
W-2 Managing EmployeePresident & Ceo Jan 5, 2026
Operational/Managerial ControlPresident & Ceo Jan 5, 2026
William Carlberg Individual Corporate DirectorBoard Member Feb 24, 2014
Corporate DirectorBoard Member Jan 1, 2022
Kenneth Krock Individual Corporate DirectorBoard Member Jan 1, 2021
Terry Moss Individual Corporate DirectorBoard Member Jan 1, 2021
Janis Blout Individual Corporate DirectorBoard Member Feb 23, 2015
Corporate DirectorBoard Member Jan 1, 2019
Erin Elizabeth Bailey Individual Corporate DirectorBoard Member Jan 1, 2021
Corporate DirectorBoard Member Jul 1, 2025
Kevin Meade Individual Corporate DirectorBoard Member Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2020
Julie Reeder Individual Corporate OfficerVP of Finance/Cfo Mar 6, 2017
Morris D Lee Individual Corporate DirectorBoard Member Jan 1, 2019
Patrick B Renick Individual Corporate DirectorBoard Member Jan 1, 2019
Sarah Keefer Individual Corporate DirectorBoard Member Jul 1, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 151

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.

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1780692087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W WALNUT ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202444",
            "telephone_number": "309-647-5240",
            "fax_number": "309-649-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WALNUT ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202497",
            "telephone_number": "309-647-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2028 N Seminary St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614014559",
            "country_code": "US",
            "telephone_number": "309-570-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1174 N Seminary St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614012858",
            "country_code": "US",
            "telephone_number": "309-570-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAHAM HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP OF FINANCE/CFO",
        "authorized_official_telephone_number": "309-647-5240"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0000869",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, IL

Sources for this page

Verify at the official NPI Registry.