Marion Healthcare LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002801 Issued in IL

Legal business name

MARION HEALTHCARE LLC

Practice address

3003 Civic Circle Blvd
Marion, IL 62959-5259

Phone

(618) 993-1112

NPI assigned

Mar 9, 2006

Last updated

Oct 17, 2013By 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

Jennifer L Van Meter, CPC

Title

Administrator

Phone

(618) 993-1112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Marion Healthcare LLCCCN 14C0001105

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Brent Hitchens, CRNA

  • Certified Registered Nurse Anesthetist
  • Carbondale, IL
  • NPI 1992438451
  Medicare reassignment NPD
• Jennifer Schroeder, CRNA

  • Certified Registered Nurse Anesthetist
  • Mokena, IL
  • NPI 1275582967
  Medicare reassignment NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1821066515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CIVIC CIRCLE BLVD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CIVIC CIRCLE BLVD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595259",
            "telephone_number": "618-993-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-993-1112",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Eye Anesthesia Group LLC
• Marion Eye Center Anesthesia Group Inc
• Marion Eye Centers LTD
• Marion Eye Centers LTD.
• Marion Family Chiropractic, PLLC
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Medical Xray

• Ambulatory Surgical Clinic/Center in Marion, IL
• Providers in Marion, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.