NPIMap

Organization Active NPI

Springfield Clinic, LLP

  • Rural Health Clinic/Center
  • Taylorville, IL
National Provider Identifier
1780893578
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPRINGFIELD CLINIC, LLP
Practice address
600 N Main St
Taylorville, IL 62568-1511
Phone
(217) 824-8191
NPI assigned
May 21, 2007
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Cal Robert Thomas
Title
Cso
Phone
(217) 528-7541

Specialties & licenses 1

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

Addresses

Primary practice location

600 N Main St
Taylorville, IL 62568-1511

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other names 1

  • Springfield Clinic Taylorville Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000729 IL Part A Provider - Rural Health Clinic 0547166076 Practice locations: Taylorville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780893578. Details of each certification follow.

Rural health clinic certification: CCN 143850

Legal name
SPRINGFIELD CLINIC, LLP
Doing business as
SPRINGFIELD CLINIC TAYLORVILLE RURAL HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 11, 1993
Last certification
Mar 4, 2021
Ownership / control type
1C
Organization structure
PartnershipProprietary
Enrollment address
600 N Main St
Taylorville, IL 62568-1668

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

National Provider Directory

National Provider Directory
Tax ID family
John Allen Et Al PTR63 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

Locations

505 E Grant St
Ste 110
Macomb, IL 61455
Phone (309) 833-1733

620 N Putnam St
Ste A
Moweaqua, IL 62550
Phone 217528754173331

1025 S 6th St
Springfield, IL 62703

3501 Old Jacksonville Rd
Springfield, IL 62711
Phone (217) 960-8193

401 E Carpenter St
Springfield, IL 62702
Phone (217) 527-3700

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 52

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 52

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1780893578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681511",
            "telephone_number": "217-824-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CAL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CSO",
        "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 Taylorville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.