1. Home
  2. Directory
  3. Illinois
  4. Havana
  5. Clinic Center
  6. NPI Profile

HAVANA MEDICAL ASSOCIATES
NPI 1063478782
Clinic/Center - Rural Health in Havana, IL

Active since April 21, 2006CLIA Certified · 2 labs
615 N PROMENADE ST, HAVANA, IL 62644(309) 543-6600(309) 543-2089 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Havana Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVANA MEDICAL ASSOCIATES (NPI 1063478782) is a healthcare organization registered as a rural health in Havana, Illinois and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Mary L Layton, Director Of Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1063478782
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMASON HOSPITAL DISTRICT
Location Address615 N PROMENADE STHavana, IL 62644-1243
Mailing Address615 N Promenade St, P O Box 530Havana, IL 62644-1015 · (309) 543-6600 · Fax (309) 543-2089
Phone(309) 543-6600
Fax(309) 543-2089
Organization SubpartNo
Authorized OfficialMary L LaytonDirector Of Clinic Operations · (309) 543-8542
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 2, 2012
✔ NPI 1063478782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
615 N PROMENADE ST, Havana, IL 62644
Open in Google Maps ↗

Other Names 1

Doing Business AsHavana Medical Associates

Other Identifiers 1

Medicare OSCAR/certification143457IL

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0724597

Havana Medical Associates · Havana, IL
Active · expires Oct 25, 2026
CLIA Number14D0724597
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorMichael S. Markley
Laboratory Phone(309) 543-6600
Laboratory LocationHavana Medical Associates615 N Promenade St, Havana, IL 62644
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0435387

Mason District Hospital · Havana, IL
Active · expires Feb 27, 2027
CLIA Number14D0435387
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Ronald Champagne
Laboratory Phone(309) 543-5830
Laboratory LocationMason District Hospital615 N Promenade St, Havana, IL 62644
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARLOS ALBERTO URDININEA KIRKWOOD M.D.
Internal Medicine
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-6600
DR. KAYLA R MILLER M.D.
Internal Medicine
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-6600
MASON DISTRICT HOSPITAL
General Acute Care Hospital (Critical Access)
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-8578
MS. KAREN FAYE BRAUER LCPC
Counselor (Professional)
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-6600
FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC
Durable Medical Equipment & Medical Supplies
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (217) 243-1101
AMANDA L RAWDON OTR/L
Occupational Therapist
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-8578
SARAH KNAKE RN-CDE
Registered Nurse (Diabetes Educator)
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-4431
TAD A YETTER M.D.
Internal Medicine
615 N PROMENADE ST
HAVANA, IL 62644
Mason County (309) 543-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Hospital District's NPI number?

The NPI number for Mason Hospital District is 1063478782. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Havana Medical Associates.

Where is Mason Hospital District located?

Mason Hospital District is located at 615 N Promenade St, Havana, IL 62644. The listed phone number is (309) 543-6600.

What is Mason Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mason Hospital District hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mason Hospital District was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.