NPIMap

Organization Active NPI

Katherine Shaw Bethea Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Dixon, IL
National Provider Identifier
1912404765
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
KATHERINE SHAW BETHEA HOSPITAL
Practice address
403 E 1St St
Dixon, IL 61021-3116
Phone
(815) 285-5521
NPI assigned
Apr 9, 2018
Organization subpart
Yes
Parent organization
KATHERINE SHAW BETHEA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Anthony Evers
Title
Chief Financial Officer
Phone
(815) 285-5521

Specialties & licenses 1

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

Addresses

Primary practice location

403 E 1St St
Dixon, IL 61021-3116

Mailing address

403 E 1St St
Dixon, IL 61021-3116
Phone (815) 285-5521

National Provider Directory

National Provider Directory
Tax ID family
Katherine Shaw Bethea Hosp4 organizations share this tax ID, including this one
Part of
Katherine Shaw Bethea Hosp

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1912404765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE SHAW BETHEA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KATHERINE SHAW BETHEA HOSPITAL",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "EVERS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "815-285-5521"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.