NPIMap

Organization Active NPI

Crawford Hospital District

Doing business as CMH Specialty Clinic-Newton

  • Urology Physician
  • Newton, IL
National Provider Identifier
1265309405
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CRAWFORD HOSPITAL DISTRICT
Doing business as
CMH Specialty Clinic-Newton
Practice address
804 W Jourdan St
Newton, IL 62448-1060
Phone
(618) 546-2591
Fax
(618) 546-2668
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Julia Hoalt
Title
Revenue Cycle Director
Phone
(618) 546-2663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

804 W Jourdan St
Newton, IL 62448-1060

Mailing address

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 544-3131

Other names 1

  • CMH Specialty Clinic-Newton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000700 IL Part A Provider - Critical Access Hospital 7719898071 Receives reassigned benefits from 138 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newton, IL; Robinson, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265309405. Details of each certification follow.

Hospital certification: CCN 141343

Legal name
CRAWFORD HOSPITAL DISTRICT
Doing business as
CRAWFORD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 1, 2005
Last certification
Jan 12, 2005
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1000 N Allen St
Robinson, IL 62454-1114
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Crawford Memorial HospitalCCN 141343 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
14D2342364CMH Specialty Clinic - Newton804 West Jourdan Street, Newton, IL 62448Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Crawford Memorial Emerg11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

804 W Jourdan St
Newton, IL 62448
Phone (217) 347-2900

104 N Garfield St
Oblong, IL 62449
Phone (618) 592-3119

1000 N Allen St
Ste C
Robinson, IL 62454
Phone (618) 546-1294

1101 N Allen St
Robinson, IL 62454
Phone (618) 544-3125

1101 N Allen St
Ste 200
Robinson, IL 62454
Phone (618) 544-3699

1101 N Allen St
Ste 500
Robinson, IL 62454
Phone (618) 544-3800

1101 N Monroe St
Robinson, IL 62454
Phone (618) 544-4663

1108 N Allen St
Robinson, IL 62454
Phone (618) 544-3699

1108 N Allen St
Ste A
Robinson, IL 62454
Phone (618) 546-5461

500 S Reed St
Robinson, IL 62454
Phone (618) 469-1244

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Douglas C Florkowski Individual Contracted Managing EmployeeCeo Jul 17, 2017
Judith K Adams Individual Corporate DirectorBoard Member Jan 1, 2005
Mitzi S Martin Individual Corporate DirectorBoard Member Jan 1, 2004
John W Daugherty Individual Corporate DirectorBoard Member Feb 19, 2009
Robert K Quick Individual Corporate DirectorBoard Member Feb 17, 2021
Stewart J Schutte Individual Corporate DirectorBoard Member Sep 20, 2017
Gregory P Kastner Individual Corporate DirectorBoard Member Feb 15, 2006
Wanda S James Individual Corporate DirectorBoard Chairman Jan 1, 2004
Julia M Hoalt Individual W-2 Managing EmployeeRevenue Cycle Director Aug 9, 2017
Crawford Hospital District Organization, Robinson, IL Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Melissa York Individual Corporate DirectorBoard Member Jul 1, 2024
John M Harbor Individual Contracted Managing EmployeeCfo May 12, 2023
Thomas a Moore Individual Corporate DirectorBoard Member Mar 21, 2018

Owners & managing parties with NPI records 9

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

Practitioners & affiliated clinicians

Practitioners 170

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 170

Affiliated clinicians 182

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 182

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1265309405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541114",
            "telephone_number": "618-544-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W JOURDAN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481060",
            "telephone_number": "618-546-2591",
            "fax_number": "618-546-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "HOALT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "618-546-2663"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Specialty Clinic-Newton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, IL

Sources for this page

Verify at the official NPI Registry.