NPIMap

Organization Active NPI

Springfield Clinic LLP

Doing business as Springfield Clinic Rural Health Flora

  • Rural Health Clinic/Center
  • Flora, IL
National Provider Identifier
1053508960
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPRINGFIELD CLINIC LLP
Doing business as
Springfield Clinic Rural Health Flora
Practice address
501 N Main St
Flora, IL 62839-1405
Phone
(618) 403-5040
Fax
(618) 403-5042
NPI assigned
Sep 25, 2007
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Cal Robert Thomas
Title
Cso
Phone
(217) 528-7541

Specialties & licenses 1

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

Addresses

Primary practice location

501 N Main St
Flora, IL 62839-1405

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other names 1

  • Springfield Clinic Rural Health Flora Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226000944 IL Part A Provider - Rural Health Clinic 0547166076 Practice locations: Flora, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053508960. Details of each certification follow.

Rural health clinic certification: CCN 148928

Legal name
SPRINGFIELD CLINIC, LLP
Doing business as
SPRINGFIELD CLINIC FLORA RURAL HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 24, 2001
Last certification
Nov 9, 2020
Ownership / control type
1C
Most recent change of ownership
Jan 1, 2016 (1 total)
Organization structure
PartnershipProprietary
Enrollment address
501 N Main St
Flora, IL 62839-1405

Other NPIs with the same Medicare PAC ID 22

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

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Taylorville Medical Associates Lab63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

501 N Main St
Flora, IL 62839
Phone (618) 403-5040

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Cal Thomas Individual Corporate OfficerChief Development Officer Jul 5, 2018
Betsy Butler Individual W-2 Managing EmployeeAssoc VP Provider Recruitment May 1, 2025

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
SC Home Health NFPSpringfield, IL, CCN 148187 Home health agency Operational/Managerial Control (100%) Jul 17, 2023

Owned or controlled facilities with NPI records 1

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

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2016 Change of OwnershipThis provider was the buyer Marshall Clinic Effingham, SC - LouisvilleCCN 148928, IL, NPI 1053508960
Jan 1, 2016 Change of OwnershipThis provider was the seller Springfield Clinic Flora Rural HealthCCN 148928, IL, NPI 1053508960

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1053508960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541",
            "fax_number": "217-528-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391405",
            "telephone_number": "618-403-5040",
            "fax_number": "618-403-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CAL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CSO",
        "authorized_official_telephone_number": "217-528-7541"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Clinic Rural Health Flora",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springfield Clinic Rural Health Flora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flora, IL

Sources for this page

Verify at the official NPI Registry.