NPIMap

Organization Active NPI

Sparta Community Hospital Dba Quality Healthcare Clinics

  • Clinic/Center
  • Sparta, IL
National Provider Identifier
1154626448
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS
Practice address
818 E Broadway St
Sparta, IL 62286
Phone
(618) 443-2177
Fax
(618) 443-1358
NPI assigned
Jan 18, 2011
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Mr. Michael Hayes
Title
Business Office Manager
Phone
(618) 443-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

818 E Broadway St
Sparta, IL 62286

Mailing address

818 E Broadway St
Sparta, IL 62286-1820

Other names 1

  • SPECIALTY CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Sparta Community Hospital Dba Quality Healthcare Clinics9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1154626448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "62286",
            "telephone_number": "618-443-2177",
            "fax_number": "618-443-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "618-443-2177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALTY CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.