NPIMap

Organization Active NPI

Sparta Community Hospital D/B/a Quality Healthcare Clinics

  • Multi-Specialty Clinic/Center
  • Sparta, IL
National Provider Identifier
1114984226
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Practice address
818 E. Broadway Street
Sparta, IL 62286-0297
Phone
(618) 443-1337
Fax
(618) 443-1383
NPI assigned
May 1, 2006
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Mrs. Lisa Ernsting
Title
Cfo
Phone
(618) 433-2177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

818 E. Broadway Street
Sparta, IL 62286-0297

Mailing address

PO Box 297
Sparta, IL 62286-0297
Phone (618) 443-1337

Other identifiers 1

IdentifierTypeStateIssuer
CH0349OtherRAILROAD MEDICARE

Other names 1

  • Sparta Community Hospital Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@spartahospital.hin.us

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000594 IL Part B Supplier - Clinic/Group Practice 6709870462 Receives reassigned benefits from 55 practitioners
Practice locations: Sparta, IL; Steeleville, IL; Marissa, IL; Coulterville, IL

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory

Locations

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

205 S Burns Ave
Sparta, IL 62286
Phone (618) 443-2858

215 S Burns Ave
Ste A
Sparta, IL 62286
Phone (618) 443-3111

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Quality Healthcare ClinicsCoulterville, IL, CCN 143465 Rural health clinic Operational/Managerial Control (100%) Jul 1, 1996

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1114984226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622860297",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E. BROADWAY STREET",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622860297",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ERNSTING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-433-2177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0349",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "818 E. Broadway Street",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622860297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sparta Community Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, IL

Sources for this page

Verify at the official NPI Registry.