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KATHERINE SHAW BETHEA HOSPITAL
NPI 1962600072
Medicare Defined Swing Bed Unit in Dixon, IL

Active since July 10, 2007
403 E 1ST ST, DIXON, IL 61021(815) 288-5531(815) 285-5688 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine Shaw Bethea Hospital NPPES

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

KATHERINE SHAW BETHEA HOSPITAL (NPI 1962600072) is a healthcare organization registered as a medicare defined swing bed unit in Dixon, Illinois and active in the NPI registry since July 2007. The organization lists Darryl Vandervort, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962600072
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameKATHERINE SHAW BETHEA HOSPITAL
Location Address403 E 1ST STDixon, IL 61021-3116
Mailing Address403 E 1st StDixon, IL 61021-3116 · (815) 288-5531 · Fax (815) 285-5688
Phone(815) 288-5531
Fax(815) 285-5688
Organization SubpartNo
Authorized OfficialDarryl VandervortCeo · (815) 285-5501
Enumeration DateJuly 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962600072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in IL · 0000497
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
403 E 1ST ST, Dixon, IL 61021
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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.

SAAD BLANEY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5533
KATHERINE SHAW BETHEA HOSPITAL
Psychiatric Unit
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
BRETT AUSTIN MCGOWAN M.D.
Obstetrics & Gynecology
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5461
MARIE NOWAK MD
Emergency Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
STACEY PENAFLOR
Physical Therapist
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
DOROTHY BENNETT MD
Internal Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5629
VALARIE PFOUTZ APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
AUDRA DANIELLE WASHO APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 284-5710

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 Katherine Shaw Bethea Hospital's NPI number?

The NPI number for Katherine Shaw Bethea Hospital is 1962600072. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Katherine Shaw Bethea Hospital located?

Katherine Shaw Bethea Hospital is located at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 288-5531.

What is Katherine Shaw Bethea Hospital's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

When was this NPI record last updated?

The NPPES record for Katherine Shaw Bethea Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.