COMMUNITY HOSPITAL OF STAUNTON NPI 1508305418

NPI Information

NPI: 1508305418
Provider Name: COMMUNITY HOSPITAL OF STAUNTON

Doing Business As: COMMUNITY CLINIC OF STAUNTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
325 N CALDWELL ST
STAUNTON, IL
ZIP 62088
Phone: (618) 635-2221
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COMMUNITY HOSPITAL OF STAUNTON is a rural health clinic center in Staunton, IL. COMMUNITY HOSPITAL OF STAUNTON NPI is 1508305418. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Clinic Of Staunton.

The provider's business location address is:

325 N CALDWELL ST
STAUNTON, IL
ZIP 62088-421
Phone: (618) 635-2221

The provider's authorized official is Larry Spour .
The authorized official title is President and has the following contact phone number (618) 542-1089.

The CLIA number assigned to this NPI record is 14D1093839 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC0050X	Clinic/Center	Critical Access Hospital			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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