Anna Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

0002824 Issued in IL

Legal business name

ANNA HOSPITAL CORPORATION

Practice address

517 N Main St
Anna, IL 62906-1668

Phone

(618) 833-2295

NPI assigned

Mar 9, 2006

Organization subpart

Yes

Parent organization

ANNA HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Laura J Fey

Title

Sr. Director Physician Rev Cycle

Phone

(615) 221-3641

Specialties & licenses 2

Addresses

Other names 1

• Convenient Care Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Anna Hospital Corporation

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Deaconess Illinois Union County Hospital Inc

  • Rural Health Clinic/Center
  • Anna, IL
  • NPI 1184340408

  Sold to, 2023-01-14

  CMS change of ownership

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1912975533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895",
            "telephone_number": "152-221-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNA HOSPITAL CORPORATION",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "0002824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Convenient Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Hospital Corporation
• Anna Hospital Corporation
• Anna Hospital Corporation
• Anna Hospital Corporation
• Anna Hospital Corporation
• Anna Jonesboro Community
• Anna Rehabilitation and Nursing Center, LLC
• Anna-Jonesboro Community High School
• Vikas Arora, D.O.
• Arrowleaf

• All providers in Anna, IL
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.