NPIMap

Organization Active NPI

Holy Cross Hospital

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1962425611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1706399 Issued in IL
Legal business name
HOLY CROSS HOSPITAL
Practice address
2701 W 68TH St
Chicago, IL 60629-1813
Phone
(773) 884-9000
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Zmrhal
Title
Cfo
Phone
(773) 884-1602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1706399 IL Primary

Addresses

Primary practice location

2701 W 68TH St
Chicago, IL 60629-1813

Mailing address

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000030 IL Part A Provider - Hospital 3274518832 3 other NPIs on this enrollment
Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962425611. Details of each certification follow.

Hospital certification: CCN 140133

Legal name
HOLY CROSS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 11, 2020
Beds
311
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 10, 1929 in IL
Enrollment address
2701W 68TH St
Chicago, IL 60629-1882
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation unit

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Holy Cross HospitalCCN 140133 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Abraham C Morgan Individual Corporate DirectorBoard Member Jan 16, 2013
Bret R Maxwell Individual Corporate DirectorBoard Member Jan 15, 2013
Anne Donnelly Cohn Individual Corporate DirectorBoard Member Apr 10, 2013
Christopher Stephens Individual W-2 Managing EmployeeManager Mar 15, 2015
Sinai Health System Organization, Chicago, IL Non-profit Operational/Managerial Control Jan 16, 2013 100%
Dimas Ortega Individual Corporate OfficerVP Deputy Chief Financial Officer Dec 1, 2023

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 12

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.

Affiliated clinicians 187

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

View all 187

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962425611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-884-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-884-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZMRHAL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-884-1602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "1706399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.