NPIMap

Organization Active NPI

HSHS Prairie, Inc

Doing business as HSHS Medical Group Family Medicine - Altamont

  • Rural Health Clinic/Center
  • Altamont, IL
National Provider Identifier
1679108351
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HSHS PRAIRIE, INC
Doing business as
HSHS Medical Group Family Medicine - Altamont
HSHS Prairie Primary Care - Altamont
Practice address
3 DO It Dr
Altamont, IL 62411-1135
Phone
(618) 483-6131
NPI assigned
Mar 3, 2020
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HSHS PRAIRIE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Heath M. Roberts
Title
President
Phone
(217) 492-9648

Specialties & licenses 1

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

Addresses

Primary practice location

3 DO It Dr
Altamont, IL 62411-1135

Mailing address

3 DO It Dr
Altamont, IL 62411-1135

Other names 2

  • HSHS Medical Group Family Medicine - Altamont Doing business as
  • HSHS Prairie Primary Care - Altamont Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200522000485 IL Part A Provider - Rural Health Clinic 5092857821 Practice locations: Altamont, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679108351. Details of each certification follow.

Rural health clinic certification: CCN 783851

Legal name
HSHS MEDICAL GROUP INC
Doing business as
HSHS MEDICAL GROUP FAMILY MEDICINE - ALTAMONT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 3, 2020
Last certification
Nov 3, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
3 DO It Dr
Altamont, IL 62411-1135

Other NPIs with the same Medicare PAC ID 8

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

  • HSHS Medical Group Inc

    dba Quick Care - Powered by HSHS Medical Group

    • Rural Health Clinic/Center
    • Newton, IL
    • NPI 1679236533

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Family Medicine - Dieterich

    • Rural Health Clinic/Center
    • Dieterich, IL
    • NPI 1033841192

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Family & Internal Medicine - Effingham

    • Rural Health Clinic/Center
    • Effingham, IL
    • NPI 1265904486

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Prairie Foot and Ankle - Springfield

    • Durable Medical Equipment & Medical Supplies
    • Springfield, IL
    • NPI 1467849257

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Prairie Foot and Ankle - Jacksonville

    • Durable Medical Equipment & Medical Supplies
    • Jacksonville, IL
    • NPI 1629465414

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Prairie Foot and Ankle - Breese

    • Durable Medical Equipment & Medical Supplies
    • Breese, IL
    • NPI 1740677533

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Inc

    • Rural Health Clinic/Center
    • Highland, IL
    • NPI 1851536296

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc
    • Multi-Specialty Clinic/Center
    • Springfield, IL
    • NPI 1962644807

    5092857821

    Same PAC ID

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
14D2131164HSHS Altamont3 DO It Dr, Altamont, IL 62411Certificate of waiverMay 22, 2027
14D2178425H S H S Medical Group Family Medicine - Altamont3 DO It Drive, Altamont, IL 62411Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory
Part of
HSHS Medical Group Inc

Locations

5 E Cumberland Rd
Altamont, IL 62411
Phone (618) 483-6131

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Frank V Aguirre Individual Corporate OfficerBoard Member Feb 23, 2026
David Oligschlaeger Individual Corporate OfficerBoard Member Feb 23, 2026
Pavan Kumar Gupta Individual Corporate OfficerBoard Member Feb 23, 2026
Jerry Gaffner Individual Corporate OfficerBoard Member Jan 1, 2023
Leanne M Yanni Individual Corporate OfficerPresident and Ceo Mar 17, 2025
Rachel Broughton Individual Corporate OfficerBoard Member Feb 23, 2026
Heather Spath Individual W-2 Managing EmployeeManager Medical Staff Jan 1, 2023
Hospital Sisters Services Inc Organization, Springfield, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Kristen Allen Individual Corporate OfficerBoard Member Feb 23, 2026
Alejandro J Alvarado Individual Corporate OfficerBoard Member Feb 23, 2026

Owners & managing parties with NPI records 4

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

Facilities with the same owner 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1679108351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DO IT DR",
            "city": "ALTAMONT",
            "state": "IL",
            "postal_code": "624111135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DO IT DR",
            "city": "ALTAMONT",
            "state": "IL",
            "postal_code": "624111135",
            "telephone_number": "618-483-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS PRAIRIE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HSHS PRAIRIE, INC",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-492-9648"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS Medical Group Family Medicine - Altamont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSHS Prairie Primary Care - Altamont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamont, IL

Sources for this page

Verify at the official NPI Registry.