NPIMap

Organization Active NPI

CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
National Provider Identifier
1902854623
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000364 Issued in IL
Legal business name
CGH MEDICAL CENTER
Practice address
100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone
(815) 625-0400
Fax
(815) 625-2747
NPI assigned
May 5, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Ms. Paul A SteinkeNPI 1548359656
Title
Ceo
Phone
(815) 625-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
Medicare Defined Swing Bed Hospital Unit 275N00000X 0000364 IL
General Acute Care Hospital 282N00000X 0000364 IL Primary

Addresses

Primary practice location

100 E Le Fevre Rd
Sterling, IL 61081-1278

Mailing address

100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400

Other identifiers 3

IdentifierTypeStateIssuer
CE7487OtherILRAILROAD MEDICARE
IL0101OtherILJOHN DEERE
L011619OtherTRICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031217000054 IL Part B Supplier - Clinic/Group Practice 6103723267 Receives reassigned benefits from 367 practitioners
1 other NPI on this enrollment
Practice locations: Sterling, IL; Tampico, IL; Walnut, IL; Polo, IL; Rock Falls, IL; Prophetstown, IL; Mount Carroll, IL; Morrison, IL…
O20040928000513 IL Part B Supplier - Clinic/Group Practice 6103723267 Receives reassigned benefits from 22 practitioners
Practice locations: Sterling, IL
O20070124000127 IL Part B Supplier - Clinic/Group Practice 6103723267 Receives reassigned benefits from 10 practitioners
Practice locations: Sterling, IL
O20081114000248 IL Part A Provider - Hospital 6103723267 Practice locations: Morrison, IL; Sterling, IL; Rock Falls, IL; Dixon, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902854623. Details of each certification follow.

Hospital certification: CCN 140043

Legal name
CGH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 19, 2009
Beds
98
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Incorporated
Sep 22, 1909 in IL
Enrollment address
100E Le Fevre Rd
Sterling, IL 61081-1278
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Swing-bed approved

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
CGH Medical CenterCCN 140043 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • CGH Medical Center

    dba CGH Medical Center-Main Clinic

    • Durable Medical Equipment & Medical Supplies
    • Sterling, IL
    • NPI 1720105448

    Member Of

    NPD member

Locations

106 E Market St
Mount Carroll, IL 61053
Phone (815) 244-3678

212 E Railroad St
Prophetstown, IL 61277
Phone (815) 537-5050

100 W 1st St
Rock Falls, IL 61071
Phone (815) 632-5366

10 W 3rd St
Sterling, IL 61081
Phone (815) 226-4990

101 E Miller Rd
Ste 100
Sterling, IL 61081

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jeffrey P Lemay Individual Corporate Director Aug 1, 1986
Scott Wolber Individual Corporate Director Aug 1, 2017
Nancy Rasmussen Individual Corporate Director Nov 14, 2007
Thomas F King Individual Corporate Director Feb 7, 2022
Heather Sotelo Individual Corporate Director Aug 31, 2011
Benjamin Schaab Individual Corporate Officer Sep 22, 2011
Paul Steinke Individual Corporate Director Jul 1, 2009
Shawn P Hanlon Individual Corporate Director Aug 1, 1986
John R Benson Individual Corporate Director Nov 14, 2007
John a Vonosdol Individual Corporate Director Nov 14, 2007
CGH Medical Center Organization, Sterling, IL 5% Or Greater Direct Ownership Interest Nov 14, 2007
Mary Jean Derreberry Individual Corporate Director Jun 2, 2021
Andy R Moore Individual Corporate Director Nov 14, 2007
Kenneth Koerner Individual Corporate DirectorDirector of Patient Accounts Apr 19, 2000
W-2 Managing EmployeeDirector of Patient Accounts Apr 1, 2013
Marcia Jones Individual Corporate Director Feb 7, 2011

Owners & managing parties with NPI records 8

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
CGH Medical CenterSterling, IL, CCN 147562 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 28, 1994

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 548

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 548

Affiliated clinicians 317

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

View all 317

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1902854623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LE FEVRE RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811278",
            "telephone_number": "815-625-0400",
            "fax_number": "815-625-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LE FEVRE RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811278",
            "telephone_number": "815-625-0400",
            "fax_number": "815-625-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "STEINKE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-625-0400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "0000364",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0000364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7487",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IL0101",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "L011619",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

Verify at the official NPI Registry.