NPIMap

Organization Active NPI

Schuiyler County Hospital District Health Center Inc

Doing business as Community Medical Clinic

  • Clinic/Center
  • Astoria, IL
National Provider Identifier
1740431964
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SCHUIYLER COUNTY HOSPITAL DISTRICT HEALTH CENTER INC
Doing business as
Community Medical Clinic
Practice address
135 W Broadway
Astoria, IL 61501-9634
Phone
(309) 329-2926
Fax
(309) 329-2656
NPI assigned
Oct 7, 2008
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SCHUYLER COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Tamra Sue Gadberry
Title
Chief Financial Officer
Phone
(217) 322-5296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

135 W Broadway
Astoria, IL 61501-9634

Mailing address

135 W Broadway
Astoria, IL 61501-9634
Phone (309) 329-2926

Other names 1

  • COMMUNITY MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Part of
Sarah D Culbts Mem Hosp

Locations

8460 Saint Lukes Dr
Beardstown, IL 62618
Phone (217) 323-2707

435 Camden Rd
Mt Sterling, IL 62353
Phone (217) 773-3377

206 S Monroe St
Rushville, IL 62681
Phone (217) 322-4313

130 N Broadway St
Table Grove, IL 61482
Phone (309) 758-5070

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1740431964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W BROADWAY",
            "city": "ASTORIA",
            "state": "IL",
            "postal_code": "615019634",
            "telephone_number": "309-329-2926",
            "fax_number": "309-329-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W BROADWAY",
            "city": "ASTORIA",
            "state": "IL",
            "postal_code": "615019634",
            "telephone_number": "309-329-2926",
            "fax_number": "309-329-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUIYLER COUNTY HOSPITAL DISTRICT HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHUYLER COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2008-10-07",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GADBERRY",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "217-322-5296"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.