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Organization Active NPI

Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
National Provider Identifier
1013969112
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SCHUYLER COUNTY HOSPITAL DISTRICT
Practice address
238 S Congress St
Rushville, IL 62681-1465
Phone
(217) 322-4321
Fax
(217) 322-6459
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Tamra S Gadberry
Title
Chief Financial Officer
Phone
(217) 322-4321

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 183

Affiliated clinicians 89

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 89

Medicare Care Compare: Hospital

Listed as
Sarah D Culbertson Memorial Hospital CCN 141333
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL

Hospital certification: CCN 141333

Legal name
SCHUYLER COUNTY HOSPITAL DISTRICT
Doing business as
SARAH D. CULBERTSON MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 1, 2004
Last certification
Jul 18, 2023
Beds
22
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Incorporated
Mar 1, 1994 in IL
Enrollment address
238 S Congress St
Rushville, IL 62681-1465
Other Hospital Practice Location

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tamra S Gadberry
Individual 		Corporate Officer
Chief Financial Officer		 Jul 1, 2017
W-2 Managing Employee
Chief Financial Officer		 Jul 1, 2017
Schuyler County Hospital District
Organization · Rushville, IL 		5% Or Greater Direct Ownership Interest May 1, 2004 100%
Gregg R Snyder
Individual 		Corporate Officer
Chief Executive Officer		 Oct 1, 2021
W-2 Managing Employee
Chief Executive Officer		 Oct 1, 2021

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sarah D Culbertson Memorial Hospital
Rushville, IL · CCN 14Z333		 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2004
Elmer Hugh Taylor Clinic
Beardstown, IL · CCN 143483		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2016
Community Medical Clinic
Astoria, IL · CCN 143484		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2004
Rushville Family Practice
Rushville, IL · CCN 148578		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031218000430 IL Part B Supplier - Clinic/Group Practice 9638076474 Receives reassigned benefits from 115 practitioners
Practice locations: Beardstown, IL; Rushville, IL
O20061104000284 IL Part a Provider - Critical Access Hospital 9638076474 Receives reassigned benefits from 68 practitioners
Practice locations: Beardstown, IL; Rushville, IL

National Provider Directory

Locations

507 Washington St
Beardstown, IL 62618
Phone (217) 323-2245

238 S Congress St
#5544
Rushville, IL 62681
Phone (217) 322-4321

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

NPPES NPI Registry

Primary practice location

238 S Congress St
Rushville, IL 62681-1465

Mailing address

238 S Congress St
Rushville, IL 62681-1465
Phone (217) 322-4321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2020.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1013969112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S CONGRESS ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811465",
            "telephone_number": "217-322-4321",
            "fax_number": "217-322-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S CONGRESS ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811465",
            "telephone_number": "217-322-4321",
            "fax_number": "217-322-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GADBERRY",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL  OFFICER",
        "authorized_official_telephone_number": "217-322-4321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IL

Sources for this page

Verify at the official NPI Registry.