NPIMap

Sparta Community Hospital D/B/a Quality Healthcare Clinics

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

NPI 1669588000 · NPPES record last updated May 16, 2023

Key facts

NPI
1669588000
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same 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.

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

Facilities with the same owner 6

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

Practitioners 44

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

View all 44

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

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
Government · Non-profit
Enrollment address
9 Westwood Dr
Steeleville, IL 62288-1816
Related CCNs
141349

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 Director
Board Member		 Jan 20, 2015
Dennis R Ernsting
Individual 		Corporate Director
Board Member		 Jan 1, 1999
Jesica Gentry-Schlimme
Individual 		Corporate Director Sep 18, 2020
Mildred K Hapke
Individual 		Corporate Director
Board Member		 Sep 1, 2012
Lisa Ernsting
Individual 		Corporate Officer
Cfo		 Mar 7, 2022
W-2 Managing Employee
Cfo		 Mar 7, 2022
Christopher Haury
Individual 		Corporate Director
Board Member		 Aug 1, 2006
James M Hayes
Individual 		W-2 Managing Employee
Business Office Manager		 Aug 25, 2016
Claudia Kerens
Individual 		Corporate Director
Board 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 Officer
Ceo		 Jul 1, 1996
W-2 Managing Employee
Ceo		 Jul 16, 1990
John Clendenin
Individual 		Corporate Director Jul 15, 2016
Tyra Edmundson
Individual 		Corporate Director Dec 23, 2020

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 Clinics
Coulterville, IL · CCN 143465		 Rural health clinic Operational/Managerial Control (100%) Jul 1, 1996

Medicare enrollment records

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

National Provider Directory

Tax ID family
Quality Health Care Cli (9 organizations share this tax ID)

Locations

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

Interoperability endpoints

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
143467OtherILRHC PROVIDER NUMBER OSCAR

Other names

  • Steeleville Clinic Other name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address svc@spartahospital.hin.us

Other providers in Steeleville, IL

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

Sources for this page

Verify at the official NPI Registry.