NPIMap

Organization Active NPI

Community Medical Center of Western Il Inc

  • Rural Health Clinic/Center
  • Monmouth, IL
National Provider Identifier
1992783138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
000429 Issued in IL
Legal business name
COMMUNITY MEDICAL CENTER OF WESTERN IL INC
Practice address
1000 W Harlem Ave
Monmouth, IL 61462-1099
Phone
(309) 734-1414
Fax
(309) 734-0323
NPI assigned
Jan 6, 2006
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. Brett L Stahl
Title
Projects Coordinator
Phone
(309) 734-1431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000429 IL Primary

Addresses

Primary practice location

1000 W Harlem Ave
Monmouth, IL 61462-1099

Mailing address

1000 W Harlem Ave
Monmouth, IL 61462-1099
Phone (309) 734-1414

Other names 1

  • CMC Clinics Other name

National Provider Directory

National Provider Directory
Tax ID family
Eastland Med Plaza Surg50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992783138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W HARLEM AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621099",
            "telephone_number": "309-734-1414",
            "fax_number": "309-734-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HARLEM AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621099",
            "telephone_number": "309-734-1414",
            "fax_number": "309-734-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTER OF WESTERN IL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROJECTS COORDINATOR",
        "authorized_official_telephone_number": "309-734-1431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "000429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monmouth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.