NPIMap

Organization Active NPI

Crawford Hospital District

  • Rural Health Clinic/Center
  • Robinson, IL
National Provider Identifier
1356325633
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CRAWFORD HOSPITAL DISTRICT
Practice address
1101 North Allen Street
Robinson, IL 62454-1168
Phone
(618) 544-3699
Fax
(618) 546-7636
NPI assigned
Dec 1, 2005
Organization subpart
Yes
Parent organization
CRAWFORD MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Mrs. Debbie A Kiehl
Title
Practice Management Officer
Phone
(618) 544-8600

Specialties & licenses 1

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

Addresses

Primary practice location

1101 North Allen Street
Robinson, IL 62454-1168

Mailing address

1000 N Allen St
Robinson, IL 62454-1167
Phone (618) 544-3131

Other names 1

  • Crawford Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000099 IL Part A Provider - Rural Health Clinic 7719898071 Practice locations: Robinson, IL

Rural health clinic certification: CCN 143429

Legal name
CRAWFORD HOSPITAL DISTRICT
Doing business as
CRAWFORD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 11, 1997
Last certification
Aug 14, 2024
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
1101 N Allen St
Robinson, IL 62454-1168
Related CCNs
141343

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

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

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

Other organizations with this tax ID 10

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

Locations

1000 N Allen St
Ste B
Robinson, IL 62454
Phone (618) 546-5211

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d97362bf-37fe-407d-8a05-be96ba9615b1/

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Ovation Health Organization, Brentwood, TN Management services company Operational/Managerial Control Mar 8, 2023
Douglas C Florkowski Individual Contracted Managing EmployeeCrawford Memorial Hospital Ceo Jul 12, 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 1, 2009
Robert K Quick Individual Corporate DirectorBoard Member Feb 17, 2021
Ellen M Maxwell Individual W-2 Managing EmployeeDirector of Clinic Systems Aug 7, 2017
Stewart J Schutte Individual Corporate DirectorBoard Member Sep 20, 2017
Sandra S Steffey Individual W-2 Managing EmployeeChief Practice Management Office Sep 1, 2017
Gregory P Kastner Individual Corporate DirectorBoard Member Feb 1, 2007
Wanda S James Individual Corporate DirectorBoard Member Jan 1, 2004
Crawford Hospital District Organization, Robinson, IL Non-profit Operational/Managerial Control Aug 16, 2012 100%
Melissa York Individual Corporate DirectorBoard Member Jul 18, 2024
John M Harbor Individual Contracted Managing EmployeeCrawford Memorial Hospital Cfo May 12, 2023
Thomas a Moore Individual Corporate DirectorBoard Chairperson Nov 1, 2019

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Crawford Memorial HospitalRobinson, IL, CCN 141343 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Crawford Memorial HospitalRobinson, IL, CCN 14Z343 Hospital Operational/Managerial Control (100%) Aug 9, 2017
Crawford Memorial Hospital Home HealthRobinson, IL, CCN 147175 Home health agency Operational/Managerial Control (100%) Aug 9, 2017
CMH Rural Health- OblongOblong, IL, CCN 143488 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jul 31, 2006
Aug 6, 2013
CMH Rural Health- PalestinePalestine, IL, CCN 143486 Rural health clinic Operational/Managerial Control (100%) Aug 13, 2013
CMH Rural Health - Med CenterRobinson, IL, CCN 148611 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 29, 2023
Nov 1, 2019

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1356325633",
    "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": "624541167",
            "telephone_number": "618-544-3131",
            "fax_number": "618-546-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NORTH ALLEN STREET",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541168",
            "telephone_number": "618-544-3699",
            "fax_number": "618-546-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAWFORD MEMORIAL HOSPITAL",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "KIEHL",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "618-544-8600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robinson, IL

Sources for this page

Verify at the official NPI Registry.