NPIMap

Organization Active NPI

Advocate Health and Hospitals Corporation

Doing business as Advocate Bethany Hospital

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1801838339
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Doing business as
Advocate Bethany Hospital
Practice address
3435 W Van Buren St
Chicago, IL 60624-3312
Phone
(773) 265-7700
Fax
(773) 265-3727
NPI assigned
Jun 11, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Ms. Lena Dobbs-Johnson
Title
President - Advocate Bethany
Phone
(773) 265-3588

Specialties & licenses 1

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

Addresses

Primary practice location

3435 W Van Buren St
Chicago, IL 60624-3312

Mailing address

3435 W Van Buren St
Chicago, IL 60624-3312
Phone (773) 265-7700

Other identifiers 1

IdentifierTypeStateIssuer
362129147057MedicaidIL

Other names 1

  • Advocate Bethany Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000064 IL Part B Supplier - Clinic/Group Practice 7810800935 Receives reassigned benefits from 5,022 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1801838339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W VAN BUREN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606243312",
            "telephone_number": "773-265-7700",
            "fax_number": "773-265-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W VAN BUREN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606243312",
            "telephone_number": "773-265-7700",
            "fax_number": "773-265-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "DOBBS-JOHNSON",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PRESIDENT - ADVOCATE BETHANY",
        "authorized_official_telephone_number": "773-265-3588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362129147057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Bethany Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.