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Organization Active NPI

St. Margaret'S Health - Spring Valley

  • General Acute Care Hospital
  • Spring Valley, IL
National Provider Identifier
1861494072
Registry record updated Jan 27, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0002576 Issued in IL
Legal business name
ST. MARGARET'S HEALTH - SPRING VALLEY
Practice address
600 E 1St St
Spring Valley, IL 61362-1512
Phone
(815) 664-5311
Fax
(815) 664-1406
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mr. Timothy A. Muntz
Title
President
Phone
(815) 664-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0002576 IL Primary

Addresses

Primary practice location

600 E 1St St
Spring Valley, IL 61362-1512

Mailing address

600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 664-5311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000842 IL Part A Provider - Hospital 5092703405 Practice locations: Spring Valley, IL

Hospital certification: CCN 140143

Legal name
ST. MARGARET'S HEALTH - SPRING VALLEY
Certification status
Terminated Voluntary: merger or closure, Jun 16, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 15, 2021
Beds
90
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1905 in IL
Enrollment address
600 E 1St St
Spring Valley, IL 61362-1512
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Swing-bed approved

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Heartland Bank & Trust Company Organization, Spring Valley, IL Financial institution 5% Or Greater Security Interest Feb 2, 2022 8.2%
Sisters of Mary of the Presentation Health System Organization, Fargo, ND Non-profit Operational/Managerial Control Aug 11, 1980 100%
Aaron K Alton Individual Corporate OfficerChain Home Officer Jan 1, 2021
Jeannette M Kneebone Individual W-2 Managing EmployeePatient Accounts Director Jul 1, 2013
St. Margaret'S Health Organization, Spring Valley, IL Non-profit Operational/Managerial Control Jan 1, 2021 100%
Timothy Muntz Individual Corporate OfficerPresident & Ceo Dec 1, 1993
Corporate DirectorBoard Member Dec 1, 1993
Lisa Lynch Individual Corporate OfficerChief Financial Officer Feb 1, 2022
Tommy W Hobbs Individual Corporate DirectorBoard Member Jan 1, 2021
Eric Santos Individual Corporate DirectorBoard Member Jan 1, 2018
Spring Valley City Bank Organization, Spring Valley, IL Financial institution 5% Or Greater Security Interest Jan 1, 2021 20.2%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1861494072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-5311",
            "fax_number": "815-664-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-5311",
            "fax_number": "815-664-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH - SPRING VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MUNTZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-664-1372",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0002576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.