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GRAHAM MEDICAL GROUP
NPI 1154518454
Family Medicine - Adult Medicine in Cuba, IL

Active since October 01, 2007CLIA Certified · 4 labs
114 S 4TH ST, CUBA, IL 61427(309) 647-0201(309) 647-8613 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Graham Medical Group NPPES

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

GRAHAM MEDICAL GROUP (NPI 1154518454) is a healthcare organization registered as an adult medicine in Cuba, Illinois and active in the NPI registry since October 2007. The organization holds 4 active CLIA laboratory certificates and lists Robert G Senneff, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1154518454
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameGRAHAM HOSPITAL ASSOCIATION
Location Address114 S 4TH STCuba, IL 61427-5062
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5302
Phone(309) 647-0201
Fax(309) 647-8613
Organization SubpartNo
Authorized OfficialRobert G SenneffPresident/ceo · (309) 647-5240
Enumeration DateOctober 1, 2007
Last NPPES UpdateMay 26, 2016
✔ NPI 1154518454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
114 S 4TH ST, Cuba, IL 61427
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Other Names 1

Doing Business AsGraham Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

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 14D0897810

Graham Medical Group - Canton Rural Health Clinic · Canton, IL
Active · expires Feb 14, 2027
CLIA Number14D0897810
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Kenneth R. Krock
Laboratory Phone(309) 647-0201
Laboratory LocationGraham Medical Group - Canton Rural Health Clinic180 S Main St, Canton, IL 61520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2306057

Graham Medical Group Center For Ambulatory Care · Galesburg, IL
Active · expires Jun 10, 2028
CLIA Number14D2306057
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorMark B. Deyoung
Laboratory Phone(309) 647-0201
Laboratory LocationGraham Medical Group Center For Ambulatory Care2028 N Seminary St, Galesburg, IL 61401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D2345140

Graham Medical Group Center For Ambulatory Surgery · Galesburg, IL
Active · expires Jun 4, 2028
CLIA Number14D2345140
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorEric E. Santos
Laboratory Phone(309) 647-5240
Laboratory LocationGraham Medical Group Center For Ambulatory Surgery2028 N Seminary St, Galesburg, IL 61401
CLIA data matches this NPI record on: Name Phone
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.

Certificate of Waiver 14D2281372

Graham Medical Group - Convenient Care · Canton, IL
Active · expires May 4, 2027
CLIA Number14D2281372
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorPatrick B. Renick
Laboratory Phone(309) 647-0201
Laboratory LocationGraham Medical Group - Convenient Care126 N Fifth Ave, Canton, IL 61520
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TERRAH L CORNELL FNP
Nurse Practitioner (Family)
114 S 4TH ST
CUBA, IL 61427
Fulton County (309) 202-6780
TLC HEALTH & WELLNESS CLINIC
Clinic/Center
114 S 4TH ST
CUBA, IL 61427
Fulton County (309) 785-7111

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 Graham Hospital Association's NPI number?

The NPI number for Graham Hospital Association is 1154518454. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Graham Medical Group.

Where is Graham Hospital Association located?

Graham Hospital Association is located at 114 S 4th St, Cuba, IL 61427. The listed phone number is (309) 647-0201.

What is Graham Hospital Association's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Graham Hospital Association hold CLIA laboratory certificates?

Yes. 4 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 Graham Hospital Association was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.