NPIMap

Organization Active NPI

Sparta Community Hospital D/B/a Quality Healthcare Clinics

  • Rural Health Clinic/Center
  • Steeleville, IL
National Provider Identifier
1669588000
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Practice address
9 Westwood Dr
Steeleville, IL 62288-1816
Phone
(618) 965-3466
Fax
(618) 965-9418
NPI assigned
Aug 21, 2006
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Mrs. Lisa Ernsting
Title
Cfo
Phone
(618) 433-2177

Specialties & licenses 1

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

Addresses

Primary practice location

9 Westwood Dr
Steeleville, IL 62288-1816

Mailing address

PO Box 297
Sparta, IL 62286-0297
Phone (618) 443-1337

Other names 1

  • Steeleville Clinic Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svc@spartahospital.hin.us

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070709000078 IL Part A Provider - Rural Health Clinic 6709870462 Practice locations: Steeleville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669588000. Details of each certification follow.

Rural health clinic certification: CCN 143467

Legal name
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Doing business as
QUALITY HEALTHCARE CLINICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 5, 2004
Last certification
Aug 22, 2024
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
9 Westwood Dr
Steeleville, IL 62288-1816
Related CCNs
141349

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Sparta Community Hospital Dba Quality Healthcare Clinics9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

203 E Grant St
Coulterville, IL 62237
Phone (618) 758-2331

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

Interoperability endpoints

  • Direct secure messaging: svc@spartahospital.hin.us

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Kevin Wilson Individual Corporate DirectorBoard Member Jan 20, 2015
Dennis R Ernsting Individual Corporate DirectorBoard Member Jan 1, 1999
Jesica Gentry-Schlimme Individual Corporate Director Sep 18, 2020
Mildred K Hapke Individual Corporate DirectorBoard Member Sep 1, 2012
Lisa Ernsting Individual Corporate OfficerCfo Mar 7, 2022
W-2 Managing EmployeeCfo Mar 7, 2022
Christopher Haury Individual Corporate DirectorBoard Member Aug 1, 2006
James M Hayes Individual W-2 Managing EmployeeBusiness Office Manager Aug 25, 2016
Claudia Kerens Individual Corporate DirectorBoard Member Jan 1, 1999
Sparta Community Hospital Organization, Sparta, IL Non-profit 5% Or Greater Direct Ownership Interest Oct 5, 2004 100%
Michael Howell Individual Corporate Director Jul 10, 2020
Joann Emge Individual Corporate OfficerCeo Jul 1, 1996
W-2 Managing EmployeeCeo Jul 16, 1990
John Clendenin Individual Corporate Director Jul 15, 2016
Tyra Edmundson Individual Corporate Director Dec 23, 2020

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Quality Healthcare ClinicsCoulterville, IL, CCN 143465 Rural health clinic Operational/Managerial Control (100%) Jul 1, 1996

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1669588000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622860297",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WESTWOOD DR",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881816",
            "telephone_number": "618-965-3466",
            "fax_number": "618-965-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ERNSTING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-433-2177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "9 Westwood Dr",
            "city": "Steeleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622881816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Steeleville Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Steeleville Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Steeleville, IL

Sources for this page

Verify at the official NPI Registry.