Ingalls Memorial Hospital

LBN: Ingalls Memorial Hospital
Ingalls Memorial Hospital is an health care organization with primary practice located at 15620 Wood St , Harvey IL 60426-4171. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Early Intervention Provider Agency, Hospitals / General Acute Care Hospital, Hospitals / Rehabilitation Hospital, Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / Rehabilitation Hospital is the primary health care specialty. Ingalls Memorial Hospital can be contacted via phone (708) 915-4229, or through Johnson, Curt via phone (708) 333-2300.

Contact Information

Primary practice address
15620 Wood St Harvey IL 60426-4171
Fax:
Website:
Authorized official contact:
Name: Johnson, Curt

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 146002609 Illinois
Agencies / Early Intervention Provider Agency 252Y00000X 146002609 Illinois
Hospitals / General Acute Care Hospital 282N00000X 146002609 Illinois
Hospitals / Rehabilitation Hospital 283X00000X 146002609 Illinois
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 146002609 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 146002609 Illinois

Profile Details

NPI number 1801132105
LBN Legal business name Ingalls Memorial Hospital
DBA Doing business as
Authorized official Johnson, Curt
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2012
Last updated Dec 14th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801132105 NPPES
Illinois MEDICAID 362170866001
Illinois MEDICAID 362170866002

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