NPIMap

Organization Active NPI

Schuyler County Hospital District

Doing business as Sarah D Culbertston Memorial Hospita

  • Medicare Defined Swing Bed Hospital Unit
  • Rushville, IL
National Provider Identifier
1326093667
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SCHUYLER COUNTY HOSPITAL DISTRICT
Doing business as
Sarah D Culbertston Memorial Hospita
Practice address
238 S Congress St
Rushville, IL 62681-1465
Phone
(217) 322-4321
Fax
(217) 322-6459
NPI assigned
May 24, 2006
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SCHUYLER COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Mrs. Tamra S Gadberry
Title
Chief Financial Officier
Phone
(217) 322-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X IL Primary

Addresses

Primary practice location

238 S Congress St
Rushville, IL 62681-1465

Mailing address

238 S Congress St
Rushville, IL 62681-1465
Phone (217) 322-4321

Other names 1

  • SARAH D CULBERTSTON MEMORIAL HOSPITA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101012001191 IL Part A Provider - Critical Access Hospital 9638076474 Practice locations: Rushville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326093667. Details of each certification follow.

Hospital certification: CCN 14Z333

Legal name
SCHUYLER COUNTY HOSPITAL DISTRICT
Doing business as
SARAH D CULBERTSON MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Incorporated
Mar 1, 1994 in IL
Enrollment address
238 S Congress St
Rushville, IL 62681-1465
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Sarah D Culberston Mem8 organizations share this tax ID, including this one
Part of
Sarah D Culberston Mem

Other organizations with this tax ID 7

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Tamra S Gadberry Individual Corporate OfficerChief Financial Officer Jul 1, 2017
W-2 Managing EmployeeChief Financial Officer Jul 1, 2017
Schuyler County Hospital District Organization, Rushville, IL 5% Or Greater Direct Ownership Interest May 1, 2004 100%
Gregg R Snyder Individual Corporate Officer Oct 1, 2021
W-2 Managing Employee Oct 1, 2021

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sarah D. Culbertson Memorial HospitalRushville, IL, CCN 141333 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2004
Elmer Hugh Taylor ClinicBeardstown, IL, CCN 143483 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2016
Community Medical ClinicAstoria, IL, CCN 143484 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2004
Rushville Family PracticeRushville, IL, CCN 148578 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1326093667",
    "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",
            "telephone_number": "217-322-4321",
            "fax_number": "217-322-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S CONGRESS ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811465",
            "telephone_number": "217-322-4321",
            "fax_number": "217-322-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHUYLER COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2006-05-24",
        "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": "CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "217-322-4321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARAH D CULBERTSTON MEMORIAL HOSPITA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SARAH D CULBERTSTON MEMORIAL HOSPITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rushville, IL

Sources for this page

Verify at the official NPI Registry.