Community Medical Center Of Western Illinois INC
Clinic/Center, Emergency Care in Monmouth, IL. Organization (NPI-2).
NPI number1023095437
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023095437
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Medical Center Of Western Illinois INC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2005
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0002X | Clinic/Center, Emergency Care | ID 000429 | IL | Yes |
Other names
- Emergency Room Group (Other Name)
Practice location
1000 West Harlem AveMonmouth, IL 61462-1099
Phone 309-734-3141 · Fax 309-734-3029
Mailing address
1000 West Harlem AveMonmouth, IL 61462-1099
Phone 309-734-3141 · Fax 309-734-3029
Authorized official
Brett L Stahl
Projects Coordinator
3097341431
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