NPIMap

Organization Active NPI

Fayette County Hospital District

Doing business as FCH Express Care

  • Urgent Care Clinic/Center
  • Vandalia, IL
National Provider Identifier
1790146728
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
0000695 Issued in IL
Legal business name
FAYETTE COUNTY HOSPITAL DISTRICT
Doing business as
FCH Express Care
Practice address
825 New York Dr
Vandalia, IL 62471-1044
Phone
(618) 283-5545
NPI assigned
Mar 18, 2016
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Mr. Gregory Starnes
Title
Ceo
Phone
(618) 283-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 0000695 IL Primary

Addresses

Primary practice location

825 New York Dr
Vandalia, IL 62471-1044

Mailing address

650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-1231

Other names 1

  • FCH Express Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fayette Co Hosp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1790146728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711227",
            "telephone_number": "618-283-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NEW YORK DR",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711044",
            "telephone_number": "618-283-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-283-5401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "0000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCH Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.