Charlotte Ann Russell Medical Center – Rural Health Clinic/Center, NPI 1578504544

Charlotte Ann Russell Medical Center is a healthcare provider. based in Hoopeston, Illinois. specializing in Rural Health Clinic/Center. The organization holds a License No. 0004200 (IL). The NPI Number for Charlotte Ann Russell Medical Center is 1578504544

Main info

Organization
Name
Charlotte Ann Russell Medical Center
NPI
1578504544
Phone
(217) 383-6792
Address
701 E ORANGE ST
Authorized Official
HARRY BROCKUS CEO
Enumeration Date
9 June 2006
Last Update Date
12 May 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Charlotte Ann Russell Medical Center

  • 701, East Orange Street, Hoopeston, Vermilion County, Illinois, 60942, United States

    HOOPESTON, IL 609421801

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Type: Mailing

  • Hoopeston Community Memorial Hospital, 801, East Orange Street, Hoopeston, Vermilion County, Illinois, 60942, United States

    HOOPESTON, IL 609421802

    Phone: (214) 283-5644

    Fax: (217) 283-7432

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100727000526ORural Health ClinicILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60942)

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Reviews

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Frequently asked questions

Is Charlotte Ann Russell Medical Center listed with a National Provider Identifier?
Yes — Charlotte Ann Russell Medical Center has NPI 1578504544 on file in the registry.
Active or inactive — what applies to Charlotte Ann Russell Medical Center?
You should see Charlotte Ann Russell Medical Center as active in CMS-hosted NPPES data.
How would a patient describe Charlotte Ann Russell Medical Center's focus?
For Charlotte Ann Russell Medical Center, the primary taxonomy reads as Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Charlotte Ann Russell Medical Center?
Directory geography for Charlotte Ann Russell Medical Center centers on Hoopeston, Illinois.
Can I trust this NPI listing for Charlotte Ann Russell Medical Center?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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