CHARLOTTE ANN RUSSELL MEDICAL CENTER
NPI 1578504544
Clinic/Center - Rural Health in Hoopeston, IL

Active since June 09, 2006CLIA 14D0878378 · Waiver
801 E ORANGE ST, HOOPESTON, IL 60942(214) 283-5644(217) 283-7432 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlotte Ann Russell Medical Center NPPES

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

CHARLOTTE ANN RUSSELL MEDICAL CENTER (NPI 1578504544) is a healthcare organization registered as a rural health in Hoopeston, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Harry Brockus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578504544
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOOPESTON COMMUNITY MEMORIAL HOSPITAL
Location Address801 E ORANGE STHoopeston, IL 60942-1802
Mailing Address701 E Orange StHoopeston, IL 60942-1801 · (217) 383-6792 · Fax (217) 383-4752
Fax(217) 283-7432
Organization SubpartNo
Authorized OfficialHarry BrockusCeo · (217) 283-8540
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 12, 2016
NPI 1578504544 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
801 E ORANGE ST, Hoopeston, IL 60942

Other Names 1

Doing Business AsCharlotte Ann Russell Medical Center

Other Identifiers 4

Other9222940IL · Bcbs
Medicare ID-Type Unspecified143448IL · Rhc
Medicare ID-Type Unspecified210220IL · Part B Clinic Pas
Medicare ID-Type Unspecified573370IL · Part B Clinic Doctors

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 14D0878378

Charlotte Ann Russell Medical Center · Hoopeston, IL
Active · expires Sep 11, 2026
CLIA Number14D0878378
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorKaylee Andrews
Laboratory Phone(217) 283-8433
Laboratory LocationCharlotte Ann Russell Medical Center801 E Orange St, Hoopeston, IL 60942
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 14

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

Physician Assistant
801 E ORANGE ST
HOOPESTON, IL 60942
Nurse Practitioner (Family)
801 E ORANGE ST
HOOPESTON, IL 60942
Nurse Practitioner (Family)
801 E ORANGE ST
HOOPESTON, IL 60942
Nurse Practitioner (Family)
801 E ORANGE ST
HOOPESTON, IL 60942
Community/Behavioral Health
801 E ORANGE ST
HOOPESTON, IL 60942
Physician Assistant (Medical)
801 E ORANGE ST, HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA CHARLOTTE ANN
HOOPESTON, IL 60942
Family Medicine
801 E ORANGE ST
HOOPESTON, IL 60942
Dietitian, Registered
801 E ORANGE ST
HOOPESTON, IL 60942

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 1578504544. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Charlotte Ann Russell Medical Center.

Where is Hoopeston Community Memorial Hospital located?

Hoopeston Community Memorial Hospital is located at 801 E Orange St, Hoopeston, IL 60942. The listed phone number is (214) 283-5644.

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 14D0878378) is associated with this NPI, valid through September 11, 2026. 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 May 12, 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.