Organization Active NPI

Hamilton Memorial Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • McLeansboro, IL
National Provider Identifier
1851366835
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0000885 Issued in IL
Legal business name
HAMILTON MEMORIAL NURSING CENTER
Practice address
611 S Marshall Ave
McLeansboro, IL 62859-1213
Phone
(618) 643-2325
Fax
(618) 643-3528
NPI assigned
Feb 22, 2006
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Justin Epperson
Title
Cfo
Phone
(618) 643-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000885 IL Primary

Addresses

Primary practice location

611 S Marshall Ave
McLeansboro, IL 62859-1213

Mailing address

PO Box 429
McLeansboro, IL 62859-0429
Phone (618) 643-2325

National Provider Directory

National Provider Directory
Tax ID family
Walt W Mutschler MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1851366835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "MCLEANSBORO",
            "state": "IL",
            "postal_code": "628590429",
            "telephone_number": "618-643-2325",
            "fax_number": "618-643-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "city": "MCLEANSBORO",
            "state": "IL",
            "postal_code": "628591213",
            "telephone_number": "618-643-2325",
            "fax_number": "618-643-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MEMORIAL NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-643-2361"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0000885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLeansboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.