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Crawford Hospital District

Organization Active NPI Rural Health Clinic/Center · Robinson, IL

NPI 1356581540 · NPPES record last updated Feb 27, 2009

Key facts

NPI
1356581540
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
CRAWFORD HOSPITAL DISTRICT
Practice address
1000 N Allen St Ste a
Robinson, IL 62454-1167
Phone
(618) 544-2500
NPI assigned
Feb 27, 2009
Organization subpart
Yes
Parent organization (as reported)
CRAWFORD MEMORIAL HOSPITAL

Authorized official

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

Owners & managing parties with NPI records 8

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

Owned or controlled facilities with NPI records 7

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

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 10

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

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

Facilities with the same owner 22

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

Practitioners 72

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

View all 72

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2175396C M H Rural Health - Med Center
1000 N Allen St, Robinson, IL 62454		Certificate of waiverNov 19, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

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
Government · Non-profit
Enrollment address
1000 N Allen St
Robinson, IL 62454-1167
Related CCNs
141343

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 Employee
Crawford Memorial Hospital Ceo		 Jul 17, 2017
Judith K Adams
Individual 		Corporate Director
Board Member		 Jan 12, 2005
Mitzi S Martin
Individual 		Corporate Director
Board Member		 Jan 1, 2004
John W Daugherty
Individual 		Corporate Director
Board Member		 Feb 19, 2009
Robert K Quick
Individual 		Corporate Director
Board Member		 Feb 17, 2021
Ellen M Maxwell
Individual 		W-2 Managing Employee
Director of Clinic Systems and Reve		 Aug 7, 2017
Stewart J Schutte
Individual 		Corporate Director
Board Member		 Sep 29, 2017
Sandra S Steffey
Individual 		W-2 Managing Employee
Chief Practice Management Office		 Sep 1, 2017
Gregory P Kastner
Individual 		Corporate Director
Board Member		 Feb 15, 2006
Wanda S James
Individual 		Corporate Director
Board 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 Director
Board Member		 Jul 18, 2024
John M Harbor
Individual 		Contracted Managing Employee
Crawford Memorial Hospital Cfo		 May 22, 2023
Thomas a Moore
Individual 		Corporate Director
Board Chairperson		 Mar 21, 2018

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 Hospital
Robinson, IL · CCN 141343		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Crawford Memorial Hospital
Robinson, IL · CCN 14Z343		 Hospital Operational/Managerial Control (100%) Aug 9, 2017
Crawford Memorial Hospital Home Health
Robinson, IL · CCN 147175		 Home health agency Operational/Managerial Control (100%) Aug 9, 2017
Crawford Memorial Hospital
Robinson, IL · CCN 143429		 Rural health clinic Operational/Managerial Control (100%) Aug 16, 2012
CMH Rural Health- Oblong
Oblong, 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- Palestine
Palestine, IL · CCN 143486		 Rural health clinic Operational/Managerial Control (100%) Aug 13, 2013

Medicare enrollment records

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

National Provider Directory

Tax ID family
Crawford Memorial Emerg (11 organizations share this tax ID)
Part of
Crawford Memorial Emerg

Locations

1101 N Allen St
Ste 400
Robinson, IL 62454

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

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

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
PENDINGMedicaidIL

Other names

  • CMH Rural Health - Med Center Doing business as

Other providers in Robinson, IL

All providers in Robinson, IL · Rural Health Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.