IMH ST. ANNE CLINIC
NPI 1215650528
General Practice in Saint Anne, IL

Active since September 21, 2022CLIA 14D2286737 · Waiver
135 W STATION ST, SAINT ANNE, IL 60964(815) 432-5841 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2023, Sep 21, 2022 (2 updates tracked since 2022).

About Imh St. Anne Clinic NPPES

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

IMH ST. ANNE CLINIC (NPI 1215650528) is a healthcare organization registered as a general practice in Saint Anne, Illinois and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Michelle Fox, Director Medical Staff & It Svcs, as its authorized official.

NPPES Registry Identity

NPI1215650528
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameIROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Location Address135 W STATION STSaint Anne, IL 60964-7251
Mailing Address200 E Fairman AveWatseka, IL 60970-1644 · (815) 432-7775
Organization SubpartNo
Authorized OfficialMichelle FoxDirector Medical Staff & It Svcs · (815) 432-5841
Enumeration DateSeptember 21, 2022
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1215650528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
135 W STATION ST, Saint Anne, IL 60964

Other Names 1

Doing Business AsImh St. Anne Clinic

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

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 14D2286737

Imh St Anne Clinic · Saint Anne, IL
Active · expires Aug 1, 2027
CLIA Number14D2286737
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorTeresita Torres
Laboratory Phone(815) 427-1324
Laboratory LocationImh St Anne Clinic135 W Station St, Saint Anne, IL 60964
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics (Pediatric Critical Care Medicine)
135 W STATION ST
SAINT ANNE, IL 60964

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 Iroquois Memorial Hospital And Resident Home's NPI number?

The NPI number for Iroquois Memorial Hospital And Resident Home is 1215650528. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is doing business as Imh St. Anne Clinic.

Where is Iroquois Memorial Hospital And Resident Home located?

Iroquois Memorial Hospital And Resident Home is located at 135 W Station St, Saint Anne, IL 60964. The listed phone number is (815) 432-5841.

What is Iroquois Memorial Hospital And Resident Home's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Iroquois Memorial Hospital And Resident Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2286737) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Iroquois Memorial Hospital And Resident Home was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.