NPIMap

Schuyler County Hospital District

Organization Active NPI Rural Health Clinic/Center · Table Grove, IL

NPI 1194223719 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1194223719
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
SCHUYLER COUNTY HOSPITAL DISTRICT
Practice address
130 N Broadway St
Table Grove, IL 61482-9593
Phone
(309) 758-5070
NPI assigned
Jan 29, 2018
Organization subpart
Yes
Parent organization (as reported)
SCHUYLER COUNTY HOSPITAL DISTRICT

Authorized official

Name
Tamra S Gadberry
Title
Cfo
Phone
(217) 322-5296

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 112

National Provider Directory

Part of
Sarah D Culbertson Memorial

Locations

225 S Congress St
Rushville, IL 62681
Phone (217) 322-2777

Specialties & licenses

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

Addresses

Primary practice location

130 N Broadway St
Table Grove, IL 61482-9593

Mailing address

238 S Congress St
Rushville, IL 62681-1465

Other identifiers

IdentifierTypeStateIssuer
14D2139536OtherILCLIA

Other names

  • Community Medical Clinic of Table Grove Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2020.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1194223719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S CONGRESS ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BROADWAY ST",
            "city": "TABLE GROVE",
            "state": "IL",
            "postal_code": "614829593",
            "telephone_number": "309-758-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHUYLER COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2018-01-29",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GADBERRY",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-322-5296"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D2139536",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Clinic of Table Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Table Grove, IL

All providers in Table Grove, IL · Rural Health Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.