Organization Active NPI

Crawford Hospital District

Doing business as CMH Rural Health - Med Center

  • Rural Health Clinic/Center
  • Robinson, IL
National Provider Identifier
1356581540
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CRAWFORD HOSPITAL DISTRICT
Doing business as
CMH Rural Health - Med Center
Practice address
1000 N Allen St Ste a
Robinson, IL 62454-1167
Phone
(618) 544-2500
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CRAWFORD MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 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

1000 N Allen St Ste a
Robinson, IL 62454-1167

Mailing address

1000 N Allen St Ste a
Robinson, IL 62454-1167
Phone (618) 544-2500

Other names 1

  • CMH Rural Health - Med Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108002518 IL Part A Provider - Rural Health Clinic 7719898071 Practice locations: Robinson, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356581540. Details of each certification follow.

Rural health clinic certification: CCN 148611

Legal name
CRAWFORD HOSPITAL DISTRICT
Doing business as
CMH RURAL HEALTH - MED CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 28, 2020
Last certification
Jun 18, 2025
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
1000 N Allen St
Robinson, IL 62454-1167
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).

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
14D2175396C M H Rural Health - Med Center1000 N Allen St, Robinson, IL 62454Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Oblong Family Medicine11 organizations share this tax ID, including this one
Part of
Oblong Family Medicine

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 A
Robinson, IL 62454
Phone (618) 544-2500

1101 N Allen St
Ste 400
Robinson, IL 62454

Ownership & related parties

All disclosed owners & managing parties 16

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 17, 2017
Judith K Adams Individual Corporate DirectorBoard Member Jan 12, 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
Ellen M Maxwell Individual W-2 Managing EmployeeDirector of Clinic Systems and Reve Aug 7, 2017
Stewart J Schutte Individual Corporate DirectorBoard Member Sep 29, 2017
Sandra S Steffey Individual W-2 Managing EmployeeChief Practice Management Office Sep 1, 2017
Gregory P Kastner Individual Corporate DirectorBoard Member Feb 15, 2006
Wanda S James Individual Corporate DirectorBoard Member Jan 1, 2004
QHR Health LLC Organization, Brentwood, TN Management services company Operational/Managerial Control Mar 8, 2023
Crawford Hospital District Organization, Robinson, IL Medical provider/supplier 5% Or Greater Direct Ownership Interest Jul 29, 2023 100%
Operational/Managerial Control Nov 1, 2019 100%
Melissa York Individual Corporate DirectorBoard Member Jul 18, 2024
John M Harbor Individual Contracted Managing EmployeeCrawford Memorial Hospital Cfo May 22, 2023
Thomas a Moore Individual Corporate DirectorBoard Chairperson Mar 21, 2018

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
Crawford Memorial HospitalRobinson, IL, CCN 143429 Rural health clinic Operational/Managerial Control (100%) Aug 16, 2012
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

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 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1356581540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST STE A",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541167",
            "telephone_number": "618-544-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST STE A",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541167",
            "telephone_number": "618-544-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAWFORD MEMORIAL HOSPITAL",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "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": "CMH Rural Health - Med Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robinson, IL

Sources for this page

Verify at the official NPI Registry.