NPIMap

Organization Active NPI

Henderson County Rural Health Center Inc

Doing business as Eagle View Community Health System

  • Federally Qualified Health Center (FQHC)
  • Monmouth, IL
National Provider Identifier
1144987975
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HENDERSON COUNTY RURAL HEALTH CENTER INC
Doing business as
Eagle View Community Health System
Practice address
230 S Main St
Monmouth, IL 61462-2160
Phone
(309) 867-2202
NPI assigned
Nov 29, 2021
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Shannon Courson
Title
Executive Director
Phone
(309) 924-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

230 S Main St
Monmouth, IL 61462-2160

Mailing address

PO Box 198
Oquawka, IL 61469-0198
Phone (309) 924-2414

Other names 1

  • Eagle View Community Health System Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100824000623 IL Part B Supplier - Clinic/Group Practice 3577596030 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stronghurst, IL; Monmouth, IL; Oquawka, IL
O20221214000058 IL Part A Provider - Federally Qualified Health Center (FQHC) 3577596030 Practice locations: Monmouth, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144987975. Details of each certification follow.

Federally qualified health center certification: CCN 141811

Legal name
HENDERSON COUNTY RURAL HEALTH CENTER, INC
Doing business as
EAGLE VIEW COMMUNITY HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 13, 2022
Last certification
Dec 13, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 7, 2022 in IL
Enrollment address
230 S Main St
Monmouth, IL 61462-2160

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2230228Eagle View Community Health System230 S Main, Monmouth, IL 61462Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Henderson County Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

421 Terrace Dr
#100
Burlington, IA 52601
Phone 31975322111500

1400 E Carroll St
Ste B
Macomb, IL 61455
Phone (309) 421-3163

105 N E St
Ste 201
Monmouth, IL 61462

230 S Main St
Monmouth, IL 61462
Phone 3098672202219

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Shannon Courson Individual W-2 Managing Employee Jul 21, 2008
Henderson County Rural Health Center, Inc Organization, Oquawka, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 7, 2022 100%
Dillan Vancil Individual Corporate Officer Aug 27, 2022
Karen Cole Individual Corporate Officer May 25, 2017
David Giles Individual Corporate Officer Sep 1, 2022
James a Blender Individual Corporate Officer Jul 23, 2019
Thomas Hill Individual Corporate Officer Aug 27, 2022
Nancy Mowen Individual Corporate Officer Jul 23, 2019
Elizabeth Sanning Individual Corporate Director Nov 27, 2019
Angela Myers Individual Corporate Officer May 25, 2017
Brad Ray Individual Corporate Director Jan 25, 2001
Bobbi Tapscott Individual Corporate Officer Jul 23, 2019

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1144987975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "614690198",
            "telephone_number": "309-924-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614622160",
            "telephone_number": "309-867-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY RURAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "COURSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-924-2414"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle View Community Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle View Community Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monmouth, IL

Sources for this page

Verify at the official NPI Registry.