| Entity Name: | PROCTOR HOSPITAL |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 19 May 1958 |
| Company Number: | CORP_37793469 |
| File Number: | 37793469 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HZMLTLDERTA3 | 2024-10-29 | 5409 N KNOXVILLE AVE, PEORIA, IL, 61614, 5069, USA | 5409 NORTH KNOXVILLE AVENUE, PEORIA, IL, 61614, USA | |||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 17 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-11-01 |
| Initial Registration Date | 2003-11-05 |
| Entity Start Date | 1958-05-19 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MARCIA BECKER |
| Role | MANAGER |
| Address | 5409 N KNOXVILLE AVENUE, PEORIA, IL, 61614, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KEITH LYONS |
| Role | REIMBURSEMENT ANALYST |
| Address | 5409 N KNOXVILLE AVE, PEORIA, IL, 61614, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| KEITH E. KNEPP, 5409 N KNOXVILLE AVENUE, PEORIA, 61614, PEORIA | Agent | 2019-07-17 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054018439 | No data | No data | LICENSED PHARMACY | No data | 2014-02-11 | 2024-02-27 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| CARLE HEALTH LACON | No data | 2023-04-03 | 2023-04-25 | Voluntary Cancellation | No data |
| CARLE HEALTH CHILLICOTHE | No data | 2023-04-03 | 2023-04-25 | Voluntary Cancellation | No data |
| CARLE HEALTH PRINCEVILLE | No data | 2023-04-03 | 2023-04-25 | Voluntary Cancellation | No data |
| CARLE HEALTH PROCTOR HOSPITAL | NFP Assume Name | 2023-04-03 | No data | No data | No data |
| PROCTOR HOSPITAL EMPLOYEE CHILD CARE CENTER | NFP Assume Name | 2023-02-03 | No data | No data | No data |
| MIDWEST ORTHOPAEDIC HOSPITAL | NFP Assume Name | 2021-12-20 | No data | No data | No data |
| UNITYPOINT HEALTH - PROCTOR | NFP Assume Name | 2021-07-19 | No data | No data | No data |
| PROCTOR | NFP Assume Name | 2013-12-12 | No data | No data | No data |
| Name | Change Date |
|---|---|
| PROCTOR COMMUNITY HOSPITAL | 1991-12-23 |
Date of last update: 13 Jan 2025
