NPIMap

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
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013969112. Details of each certification follow.

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
OtherNon-profit
Incorporated
Mar 1, 1994 in IL
Enrollment address
238 S Congress St
Rushville, IL 62681-1465
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Sarah D Culbertson Memorial HospitalCCN 141333 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 2

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

Locations

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

Ownership & related parties

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 OfficerChief Financial Officer Jul 1, 2017
W-2 Managing EmployeeChief 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 OfficerChief Executive Officer Oct 1, 2021
W-2 Managing EmployeeChief Executive Officer Oct 1, 2021

Owners & managing parties with NPI records 4

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

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 HospitalRushville, IL, CCN 14Z333 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2004
Elmer Hugh Taylor ClinicBeardstown, IL, CCN 143483 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2016
Community Medical ClinicAstoria, IL, CCN 143484 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2004
Rushville Family PracticeRushville, IL, CCN 148578 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2008

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 183

Affiliated clinicians 89

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

View all 89

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.