NPIMap

Organization Active NPI

Springfield Clinic LLP

Doing business as Springfield Clinic Jacksonville Rural Health

  • Rural Health Clinic/Center
  • Jacksonville, IL
National Provider Identifier
1598068793
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPRINGFIELD CLINIC LLP
Doing business as
Springfield Clinic Jacksonville Rural Health
Practice address
15 Founders LN
Jacksonville, IL 62650-3919
Phone
(217) 291-1041
NPI assigned
Dec 9, 2010
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Cal Robert Thomas
Title
Chief Strategy Officer
Phone
(217) 528-7541

Specialties & licenses 1

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

Addresses

Primary practice location

15 Founders LN
Jacksonville, IL 62650-3919

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Other names 1

  • Springfield Clinic Jacksonville Rural Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000119 IL Part A Provider - Rural Health Clinic 0547166076 Practice locations: Jacksonville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598068793. Details of each certification follow.

Rural health clinic certification: CCN 783822

Legal name
SPRINGFIELD CLINIC, LLP
Doing business as
SPRINGFIELD CLINIC JACKSONVILLE RURAL HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 17, 2011
Last certification
Apr 7, 2025
Ownership / control type
2C
Organization structure
PartnershipProprietary
Enrollment address
15 Founders LN
Jacksonville, IL 62650-3919

Other NPIs with the same Medicare PAC ID 22

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

View all 22

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
14D0948198Springfield Clinic Jacksonville Med Office BDG Lab15 Founders LN, Jacksonville, IL 62650Certificate of waiverJan 29, 2028
14D1097569Springfield Clinic Jacksonville Outreach Specialis15 Founders LN, First Floor, Jacksonville, IL 62650Provider-performed microscopyMar 29, 2027
14D2249106Springfield Clinic Jacksonville Oncology15 Founders Lane, Jacksonville, IL 62650AccreditationApr 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Taylorville Medical Associates Lab63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Cal Thomas Individual Corporate OfficerChief Development Officer Jul 5, 2018
Betsy Butler Individual W-2 Managing EmployeeAssoc VP Provider Recruitment May 1, 2025

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
SC Home Health NFPSpringfield, IL, CCN 148187 Home health agency Operational/Managerial Control (100%) Jul 17, 2023

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1598068793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOUNDERS LN",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503919",
            "telephone_number": "217-291-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CAL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "217-528-7541"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Clinic Jacksonville Rural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, IL

Sources for this page

Verify at the official NPI Registry.