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CISSNA PARK MEDICAL CLINIC
NPI 1356382428
Clinic/Center - Rural Health in Cissna Park, IL

Active since June 09, 2006CLIA 14D1055340 · Waiver
141 W. GARFIELD AVE, CISSNA PARK, IL 60924(217) 283-5531(217) 283-7981 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cissna Park Medical Clinic NPPES

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

CISSNA PARK MEDICAL CLINIC (NPI 1356382428) is a healthcare organization registered as a rural health in Cissna Park, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Harry Brockus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356382428
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOOPESTON COMMUNITY MEMORIAL HOSPITAL
Location Address141 W. GARFIELD AVECissna Park, IL 60924-0502
Mailing Address701 E Orange StHoopeston, IL 60942-1801 · (217) 383-6792 · Fax (217) 383-4752
Phone(217) 283-5531
Fax(217) 283-7981
Organization SubpartNo
Authorized OfficialHarry BrockusCeo · (217) 283-8540
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1356382428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in IL · 0004200
141 W. GARFIELD AVE, Cissna Park, IL 60924
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Other Names 1

Doing Business AsCissna Park Medical Clinic

Other Identifiers 2

Medicare OSCAR/certification143485IL
Medicare ID-Type Unspecified213721IL · Part B Carrier

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 14D1055340

Cissna Park Medical Clinic · Cissna Park, IL
Active · expires Jun 14, 2028
CLIA Number14D1055340
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorKaylee Andrews
Laboratory Phone(217) 283-8433
Laboratory LocationCissna Park Medical Clinic141 W Garfield Ave, Cissna Park, IL 60924
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Hoopeston Community Memorial Hospital's NPI number?

The NPI number for Hoopeston Community Memorial Hospital is 1356382428. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Cissna Park Medical Clinic.

Where is Hoopeston Community Memorial Hospital located?

Hoopeston Community Memorial Hospital is located at 141 W. Garfield Ave, Cissna Park, IL 60924. The listed phone number is (217) 283-5531.

What is Hoopeston Community Memorial Hospital's specialty?

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

Does Hoopeston Community Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1055340) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hoopeston Community Memorial Hospital was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.