NPIMap

Organization Active NPI

Hospital & Medical Foundation of Paris, Inc.

Doing business as Chrisman Clinic

  • Rural Health Clinic/Center
  • Chrisman, IL
National Provider Identifier
1447314653
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.
Doing business as
Chrisman Clinic
Practice address
112 W Madison Ave
Chrisman, IL 61924-1118
Phone
(217) 269-2394
Fax
(217) 269-2438
NPI assigned
Dec 21, 2006
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Martin Adams
Title
VP of Finance & Cfo
Phone
(217) 466-4246

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Clinical Psychologist 103TC0700X NU
Family Medicine Physician 207Q00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

112 W Madison Ave
Chrisman, IL 61924-1118

Mailing address

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Other identifiers 1

IdentifierTypeStateIssuer
2315368OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Chrisman Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001005 IL Part B Supplier - Clinic/Group Practice 7315933827 Receives reassigned benefits from 210 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chrisman, IL; Tilton, IL; Paris, IL; Oakland, IL; Marshall, IL
O20100702000313 IL Part A Provider - Rural Health Clinic 7315933827 Practice locations: Chrisman, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447314653. Details of each certification follow.

Rural health clinic certification: CCN 143989

Legal name
HOSPITAL & MEDICAL FOUNDATION OF PARIS INC
Doing business as
CHRISMAN CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 1995
Last certification
Jan 12, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 1958 in IL
Enrollment address
112 W Madison Ave
Chrisman, IL 61924-1118
Related CCNs
141320

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

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
14D0872758Chrisman Clinic112 W Madison Avenue, Chrisman, IL 61924Provider-performed microscopyJul 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
National Emergency23 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

144 N Illinois St
Chrisman, IL 61924
Phone (217) 269-2394

5 S Walnut St
Oakland, IL 61943
Phone (217) 346-2353

15323 US Highway 150
Paris, IL 61944
Phone (217) 466-4226

725 E Court St
Paris, IL 61944
Phone (217) 466-4435

2 Illiana Dr
Ste C
Tilton, IL 61832
Phone (217) 465-4141

1530 N 7th St
Ste 430
Terre Haute, IN 47807
Phone (812) 238-4499

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
Amanda Martin Individual Corporate DirectorBoard Member Apr 18, 2024
David M Frisse Individual Corporate DirectorBoard Member Mar 15, 2014
Jaime Houlihan Individual Corporate DirectorBoard Member Jun 15, 2017
Jay Carmichael Individual Corporate OfficerCeo Jan 20, 2025 100%
W-2 Managing EmployeeAd; Jan 20, 2025
Darrin Johnson Individual Corporate DirectorBoard Member Jun 15, 2017
Nora Swalls Individual Corporate DirectorBoard Member Apr 18, 2024
Renee Craig Individual Corporate OfficerTreasurer Sep 15, 2012
Nolan J Longest Individual Corporate OfficerBoard Chairman Jun 15, 2013
Reid E Sutton Individual Corporate DirectorBoard Member Aug 1, 2020
Mary L Wright Individual Corporate OfficerBoard Vice Chairman Jun 15, 2011
Martin D Adams Individual Corporate OfficerVP of Finance & Cfo Nov 1, 2010
Janet Clark Individual Corporate DirectorBoard Member Apr 18, 2024
Dustin Melton Individual Corporate DirectorBoard Member Apr 18, 2024
Scott D Hogan Individual Corporate DirectorBoard Member Mar 15, 2014
Brian Blair Individual Corporate DirectorSecretary Jan 5, 2013

Practitioners & affiliated clinicians

Practitioners 212

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 212

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1447314653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141",
            "fax_number": "217-465-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MADISON AVE",
            "city": "CHRISMAN",
            "state": "IL",
            "postal_code": "619241118",
            "telephone_number": "217-269-2394",
            "fax_number": "217-269-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "VP OF FINANCE & CFO",
        "authorized_official_telephone_number": "217-466-4246"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2315368",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrisman Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chrisman, IL

Sources for this page

Verify at the official NPI Registry.