NPIMap

Organization Active NPI

HSHS Medical Group Inc

  • Rural Health Clinic/Center
  • Rushville, IL
National Provider Identifier
1487719480
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HSHS MEDICAL GROUP INC
Doing business as
HSHS Medical Group Inc
Practice address
108 Rodewald Dr
Rushville, IL 62681-9785
Phone
(217) 322-3529
Fax
(217) 322-2605
NPI assigned
Dec 27, 2006
Last updated
Jul 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Miss Melinda Clark
Title
Ceo
Phone
(217) 492-9696

Specialties & licenses 1

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

Addresses

Primary practice location

108 Rodewald Dr
Rushville, IL 62681-9785

Mailing address

108 Rodewald Drive
Rushville, IL 62681-9785
Phone (217) 322-3529

Other names 1

  • HSHS Medical Group Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 192

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 192

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1487719480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RODEWALD DRIVE",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626819785",
            "telephone_number": "217-322-3529",
            "fax_number": "217-322-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RODEWALD DR",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626819785",
            "telephone_number": "217-322-3529",
            "fax_number": "217-322-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-492-9696",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rushville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.