Harrisburg Medical Center Inc
Organization Active NPI Psychiatric Hospital Unit · Harrisburg, Saline, IL
NPI 1891029401 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1891029401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 0000521 (IL)
- Legal business name
- HARRISBURG MEDICAL CENTER INC
- Practice address
- 100 Dr Warren Tuttle Dr
Harrisburg, Saline, IL 62946-0428 - Phone
- (618) 253-7671
- Fax
- (618) 252-2077
- NPI assigned
- Sep 29, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- HARRISBURG MEDICAL CENTER INC
Authorized official
- Name
- Mr. Warren P Ladner
- Title
- Sr VP & Cfo
- Phone
- (618) 457-5200
Other NPIs on the same Medicare enrollment 5
Practitioners 20
-
Cayley Burtis, PA-C
-
Andrea Cameron, NP
-
Jannice Edmonson, NP
-
Gabriel A Martin, PA-C
-
Sonya Mohan, D.O.
-
Hassan Pervaiz, MD
-
Naeem A Qureshi, MD
-
Amy Stevens, NP
-
Daniel Donald Allen, D.O.
-
Atul K Sheth, MD
-
Ana Suarez, MD
-
Lee Tungjen Weng, MD
-
Jessica R Jackson, MSN, APRN, PMHNP
-
Kasey Dawn Khan, APN
-
Muhammad A Khan, MD
-
Skylar McCormick, APRN
-
Dabney Parker Stack, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000179 | IL | Part B Supplier - Clinic/Group Practice | 9638083884 |
Receives reassigned benefits from 48 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eldorado, IL; Harrisburg, IL; Marion, IL |
National Provider Directory
- Part of
- Harrisburg Medical CNTR Inc
Locations
1007 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-7723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Psychiatric Hospital Unit | 273R00000X | 0000521 | IL | Yes |
Addresses
Primary practice location
100 Dr Warren Tuttle Dr
Harrisburg, Saline, IL 62946-0428
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.