NPIMap

Organization Active NPI

Franklin Hospital District

Doing business as Family Healthcare Clinic

  • Rural Health Clinic/Center
  • Benton, IL
National Provider Identifier
1033140488
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FRANKLIN HOSPITAL DISTRICT
Doing business as
Family Healthcare Clinic
Practice address
201 Bailey Lane
Benton, IL 62812-0000
Phone
(618) 439-3161
Fax
(618) 439-4049
NPI assigned
Jul 5, 2006
Last updated
Feb 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Rikki Bonthron
Title
Cfo
Phone
(618) 439-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

201 Bailey Lane
Benton, IL 62812-0000

Mailing address

201 Bailey Lane
Benton, IL 62812-0000
Phone (618) 439-3161

Other names 1

  • FAMILY HEALTHCARE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000098 IL Part A Provider - Rural Health Clinic 4082516042 Practice locations: Benton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033140488. Details of each certification follow.

Rural health clinic certification: CCN 143469

Legal name
FRANKLIN HOSPITAL DISTRICT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 6, 2005
Last certification
Mar 5, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Sep 25, 1950 in IL
Enrollment address
201 Bailey LN
Benton, IL 62812-1969
Related CCNs
141321

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).

National Provider Directory

National Provider Directory
Tax ID family
Franklin Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/c680de42-53d4-410c-a755-e5a226565d34

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
James M Johnson Individual Corporate OfficerCeo Jul 1, 2016
Operational/Managerial ControlCeo Jul 1, 2016
Rikki Bonthron Individual Corporate OfficerCfo Jun 5, 2005
Gayla Kain Individual Corporate DirectorBoard Member Aug 10, 2014
Keith Ing Individual Corporate DirectorBoard Member Sep 1, 2019
Robert Lewis Individual Corporate DirectorBoard Member Aug 9, 2013
Jim Johnson Individual Corporate DirectorBoard Member Sep 15, 2016
Brent Young Individual Corporate DirectorBoard Member Aug 20, 2012
Ron Knox Individual Corporate DirectorBoard Member Aug 24, 2021
Don Cruz Individual Corporate DirectorBoard Member Sep 1, 2017
Royann Wilson Individual Corporate DirectorBoard Member Aug 24, 2021

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1033140488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BAILEY LANE",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628120000",
            "telephone_number": "618-439-3161",
            "fax_number": "618-439-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BAILEY LANE",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628120000",
            "telephone_number": "618-439-3161",
            "fax_number": "618-439-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "BONTHRON",
        "authorized_official_first_name": "RIKKI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-439-3161"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTHCARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY HEALTHCARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, IL

Sources for this page

Verify at the official NPI Registry.