NPIMap

Organization Active NPI

Irvington Township Rural Health Clinic LLC

  • Rural Health Clinic/Center
  • Hoyleton, IL
National Provider Identifier
1295940062
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC
Practice address
620 N Main St
Hoyleton, IL 62803-2046
Phone
(618) 663-0547
Fax
(418) 787-0423
NPI assigned
May 14, 2007
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Kristina Orrill
Title
Operations Manager
Phone
(618) 663-0547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NONE IL

Addresses

Primary practice location

620 N Main St
Hoyleton, IL 62803-2046

Mailing address

620 N Main St
Hoyleton, IL 62803-2046
Phone (618) 663-0547

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1295940062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HOYLETON",
            "state": "IL",
            "postal_code": "628032046",
            "telephone_number": "618-663-0547",
            "fax_number": "418-787-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HOYLETON",
            "state": "IL",
            "postal_code": "628032046",
            "telephone_number": "618-663-0547",
            "fax_number": "418-787-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ORRILL",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "618-663-0547"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "NONE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoyleton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.