NPIMap

Organization Active NPI

Community Medical Center of Western Il Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Monmouth, IL
National Provider Identifier
1861479776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000429 Issued in IL
Legal business name
COMMUNITY MEDICAL CENTER OF WESTERN IL INC
Practice address
1000 West Harlem Ave
Monmouth, IL 61462-1099
Phone
(309) 734-3141
Fax
(309) 734-3029
NPI assigned
Dec 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brett L Stahl
Title
Projects Coordinator
Phone
(309) 734-1431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000429 IL Primary

Addresses

Primary practice location

1000 West Harlem Ave
Monmouth, IL 61462-1099

Mailing address

1000 West Harlem Ave
Monmouth, IL 61462-1099
Phone (309) 734-3141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861479776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WEST HARLEM AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621099",
            "telephone_number": "309-734-3141",
            "fax_number": "309-734-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST HARLEM AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621099",
            "telephone_number": "309-734-3141",
            "fax_number": "309-734-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTER OF WESTERN IL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROJECTS COORDINATOR",
        "authorized_official_telephone_number": "309-734-1431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "000429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth, IL

Sources for this page

  • 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.