SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS NPI 1740395003

NPI Information

NPI: 1740395003
Provider Name: SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS

Other Name: SPARTA MEDICAL OFFICE

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

Specialization: Rural Health

Address:
215 S BURNS AVE
SPARTA, IL
ZIP 62286
Phone: (618) 443-4889
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SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS is a rural health clinic center in Sparta, IL. SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS NPI is 1740395003. The provider is registered as an organization entity type.
The provider Other Name Is Sparta Medical Office.

The provider's business location address is:

215 S BURNS AVE
SPARTA, IL
ZIP 62286-894
Phone: (618) 443-4889
Fax: (618) 443-1345

The provider's authorized official is Lisa Ernsting .
The authorized official title is Cfo and has the following contact phone number (618) 433-2177.

The CLIA number assigned to this NPI record is 14D0698127 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/20/2006 and was last updated on 5/16/2023.

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	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	143489	OTHER	ILLINOIS	RHC PROVIDER NUMBER OSCAR

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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