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GRAHAM MEDICAL GROUP-CANTON
NPI 1205072626
Clinic/Center - Rural Health in Canton, IL

Active since January 07, 2009CLIA 14D2281372 · Waiver
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-5302 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Graham Medical Group-canton NPPES

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

GRAHAM MEDICAL GROUP-CANTON (NPI 1205072626) is a healthcare organization registered as a rural health in Canton, Illinois and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Julie Reeder, Vp Of Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1205072626
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRAHAM HOSPITAL ASSOCIATION
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5302
Phone(309) 647-0201
Fax(309) 649-5302
Organization SubpartNo
Authorized OfficialJulie ReederVp Of Finance/cfo · (309) 647-5240
Enumeration DateJanuary 7, 2009
Last NPPES UpdateOctober 23, 2018
✔ NPI 1205072626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
180 S MAIN ST, Canton, IL 61520
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Other Names 1

Doing Business AsGraham Medical Group-canton

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 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: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SPOON RIVER HEARING SERVICES INC
Audiologist
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
A KURT SAVEGNAGO MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JOHN M MCCARTHY MD
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MS. DARA MARIE WAGNER APN-C
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JESSICA LYNN BUGOS APRN
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
STEPHEN WESTHAFER
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MR. JARED MATTHEW GRZANICH P.A.-C
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
SUZANNE E HOLTHAUS MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201

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 1205072626. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as Graham Medical Group-Canton.

Where is Graham Hospital Association located?

Graham Hospital Association is located at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Graham Hospital Association's specialty?

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

Does Graham Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2281372) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Graham Hospital Association accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Graham Hospital Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Graham Hospital Association was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.