| Hamilton Memorial Hospital District | |
|
611 S Marshall Avenue Mcleansboro IL 62859 | |
| (618) 643-2361 | |
| (618) 643-2875 |
| Full Name | Hamilton Memorial Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 S Marshall Avenue, Mcleansboro, Illinois |
| Authorized Official Name and Position | Justin Epperson (CFO) |
| Authorized Official Contact | 6186432361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Memorial Hospital District 611 S Marshall Ave Po Box 429 Mc Leansboro IL 62859-1213 Ph: (618) 643-2361 | Hamilton Memorial Hospital District 611 S Marshall Avenue Mcleansboro IL 62859 Ph: (618) 643-2361 |
| NPI Number | 1609837665 |
|---|---|
| Provider Enumeration Date | 03/30/2006 |
| Last Update Date | 08/01/2025 |
| Medicare PECOS PAC ID | 6608865985 |
|---|---|
| Medicare Enrollment ID | O20040511001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609837665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000085 (Illinois) | Primary |
| Provider Name | Rodney L Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750382396 PECOS PAC ID: 2860393428 Enrollment ID: I20040116000250 |
| Provider Name | Pak K Fung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265487870 PECOS PAC ID: 9436174422 Enrollment ID: I20051010000102 |
| Provider Name | Alec B Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760442776 PECOS PAC ID: 5799814562 Enrollment ID: I20100604000021 |
| Provider Name | John A Flick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770782351 PECOS PAC ID: 9133314719 Enrollment ID: I20101109000442 |
| Provider Name | Sabrina R Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437421047 PECOS PAC ID: 3870752702 Enrollment ID: I20120312000651 |
| Provider Name | Laura M Devous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164878229 PECOS PAC ID: 1052690195 Enrollment ID: I20161114001566 |
| Provider Name | Heather Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661287 PECOS PAC ID: 7911208004 Enrollment ID: I20170228000041 |
| Provider Name | Carrie Lutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073030789 PECOS PAC ID: 2769749407 Enrollment ID: I20171205001111 |
| Provider Name | Douglas William Sheffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184914699 PECOS PAC ID: 0840422960 Enrollment ID: I20180928000626 |
| Provider Name | Shamlan Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487077194 PECOS PAC ID: 8325260185 Enrollment ID: I20181029002709 |
| Provider Name | Donald L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366090573 PECOS PAC ID: 3971835786 Enrollment ID: I20191029000651 |
| Provider Name | Jamie Lea Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871147819 PECOS PAC ID: 0941635049 Enrollment ID: I20200117002175 |
| Provider Name | Bridget J Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588283360 PECOS PAC ID: 8224469069 Enrollment ID: I20200512002336 |
| Provider Name | Morgan Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184160855 PECOS PAC ID: 3274951397 Enrollment ID: I20200922000301 |
| Provider Name | Natasha D Bancroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679153456 PECOS PAC ID: 0143622191 Enrollment ID: I20210713002351 |
| Provider Name | Morgan Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447843172 PECOS PAC ID: 2264820323 Enrollment ID: I20211022002241 |
| Provider Name | Inessa Chernysh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437651064 PECOS PAC ID: 0345638011 Enrollment ID: I20211029000087 |
| Provider Name | Jennifer Mary Joy Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013686203 PECOS PAC ID: 0749679850 Enrollment ID: I20211111000509 |
| Provider Name | Brian Sloan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376652255 PECOS PAC ID: 2668412297 Enrollment ID: I20221128001159 |
| Provider Name | Kathryn H Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114511839 PECOS PAC ID: 8426422338 Enrollment ID: I20230316000201 |
| Provider Name | Jennifer Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134679509 PECOS PAC ID: 5799054391 Enrollment ID: I20240304002460 |
| Provider Name | Teresa Kay Mcfarland-miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104860238 PECOS PAC ID: 7315389970 Enrollment ID: I20240528002825 |
| Provider Name | Judy Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235773540 PECOS PAC ID: 9638503816 Enrollment ID: I20250204003567 |
| Provider Name | Amy Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932919073 PECOS PAC ID: 6204366727 Enrollment ID: I20250212002182 |