CHARLOTTE ANN RUSSELL MEDICAL CENTER
NPI 1578504544
Clinic/Center - Rural Health in Hoopeston, IL
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, 2028 and lists Harry Brockus, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlotte Ann Russell Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
487Medicare enrollment records show 487 clinicians reassign Medicare billing to Charlotte Ann Russell Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 35
Nearest to this location (20)
See all 487Milford, IL 60953
Danville, IL 61832
Danville, IL 61832
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILFrequently 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.
Is Hoopeston Community Memorial Hospital enrolled in Medicare?
Yes. Hoopeston Community Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hoopeston Community Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 487 clinicians in 35 Medicare specialties reassign their Medicare billing to Hoopeston Community Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (101), Internal Medicine (68) and Family Practice (57). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 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.
# Charlotte Ann Russell Medical Center · NPI 1578504544
Rural Health organization in Hoopeston, Illinois. Organization record, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1578504544 (Entity type: Organization)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Hoopeston Community Memorial Hospital
- **Organization subpart:** No
- **Authorized official:** Harry Brockus, CEO
## Practice location
- **Address:** 801 E ORANGE ST, Hoopeston, IL 60942-1802
- **Phone:** (214) 283-5644 · **Fax:** (217) 283-7432
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 487 clinicians in 35 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (101), Internal Medicine (68), Family Practice (57); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1578504544/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2016
- **Other identifiers:** Other 9222940 (IL); Medicare ID-Type Unspecified 143448 (IL); Medicare ID-Type Unspecified 210220 (IL); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578504544) · Data from the CMS NPPES public registry.