PEMBROKE COMMUNITY HEALTH CENTER
NPI 1982703005
Family Medicine in Hopkins Park, IL
About Pembroke Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEMBROKE COMMUNITY HEALTH CENTER (NPI 1982703005) is a healthcare organization registered as a family medicine in Hopkins Park, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists Patricia K Vilt, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pembroke Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pembroke Community Health Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 14D0646704
Pembroke Community Health Center · Hopkins Park, 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 Riverside Medical Center's NPI number?
The NPI number for Riverside Medical Center is 1982703005. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Pembroke Community Health Center.
Where is Riverside Medical Center located?
Riverside Medical Center is located at 3400 S Main St., Hopkins Park, IL 60944. The listed phone number is (815) 944-5545.
What is Riverside Medical Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Riverside Medical Center enrolled in Medicare?
Yes. Riverside Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Riverside Medical Center. 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 Registered Dietitian or Nutrition Professional (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Riverside Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0646704) is associated with this NPI, valid through April 17, 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 Riverside Medical Center was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pembroke Community Health Center · NPI 1982703005
Family Medicine organization in Hopkins Park, Illinois. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1982703005 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Riverside Medical Center
- **Organization subpart:** Yes (part of Riverside Medical Center)
- **Authorized official:** Patricia Vilt, CFO
## Practice location
- **Address:** 3400 S MAIN ST., Hopkins Park, IL 60944-9998
- **Phone:** (815) 944-5545 · **Fax:** (815) 944-6723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Registered Dietitian or Nutrition Professional (3), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982703005) · Data from the CMS NPPES public registry.