NPIMap

Organization Active NPI

Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
National Provider Identifier
1881643401
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0001255 Issued in IL
Legal business name
LAWRENCE COUNTY MEMORIAL HOSPITAL
Practice address
2200 State St
Lawrenceville, IL 62439-1899
Phone
(618) 943-1000
Fax
(618) 943-7223
NPI assigned
May 9, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Ms. Shana Strange
Title
Cfo
Phone
(618) 943-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0001255 IL Primary

Addresses

Primary practice location

2200 State St
Lawrenceville, IL 62439-1899

Mailing address

2200 State St
Lawrenceville, IL 62439-1899
Phone (618) 943-1000

Other identifiers 4

IdentifierTypeStateIssuer
108986OtherILHEALTHLINK
100069690AMedicaidIN
005219OtherILHEALTH ALLIANCE
0212OtherILBLUE CROSS BLUE SHILED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000309 IL Part A Provider - Critical Access Hospital 7517144249 Receives reassigned benefits from 75 practitioners
Practice locations: Lawrenceville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881643401. Details of each certification follow.

Hospital certification: CCN 141344

Legal name
LAWRENCE COUNTY MEMORIAL HOSPITAL
Doing business as
LAWRENCE COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2005
Last certification
Aug 26, 2025
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2011 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
2200 State Street
Lawrenceville, IL 62439-1899
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Lawrence County Memorial HospitalCCN 141344 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lawrence County Memorial Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Annette Akers Individual Corporate OfficerBoard Member Nov 6, 2018
Curtis M Webb Individual Corporate OfficerBoard Member Oct 1, 2023
Shana Strange Individual Contracted Managing EmployeeChief Financial Officer Jan 3, 2022
Corporate DirectorChief Financial Officer Jan 3, 2022 50%
Steven Mark Ramsaran Individual Corporate OfficerBoard- Physician Representative Oct 1, 2021
John R Waldrop Individual Corporate OfficerBoard Member May 26, 2011
Natalie Puntney Individual Corporate OfficerBoard Member Jul 1, 2021
Kevin Strange Individual Corporate OfficerBoard Member Jul 1, 2015
Jordan Tucker Individual Corporate OfficerBoard Member May 6, 2025
Lawrence County Memorial Hospital Organization, Lawrenceville, IL Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2012 100%
Mackenzie Weger Individual Corporate OfficerBoard Member May 6, 2025
Carl H Aten Individual Corporate DirectorBoard President May 26, 2011
Dennis Zehner Individual Corporate OfficerBoard Member Feb 1, 2020
Amy Hurley Individual Contracted Managing EmployeeChief Executive Officer Jan 1, 2023
Corporate DirectorChief Executive Officer Jan 1, 2023 50%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Primary Care ClinicLawrenceville, IL, CCN 143499 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 26, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 101

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.

View all 101

Affiliated clinicians 92

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1881643401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391899",
            "telephone_number": "618-943-1000",
            "fax_number": "618-943-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391899",
            "telephone_number": "618-943-1000",
            "fax_number": "618-943-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-943-7202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0001255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "108986",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069690A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "005219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "0212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

Verify at the official NPI Registry.