NPIMap

Organization Active NPI

Sparta Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Sparta, IL
National Provider Identifier
1801818240
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
14Z349 Issued in IL
Legal business name
SPARTA COMMUNITY HOSPITAL
Practice address
818 E Broadway St
Sparta, IL 62286-1820
Phone
(618) 443-2177
Fax
(618) 443-1383
NPI assigned
Jul 24, 2006
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Mrs. Lisa Ernsting
Title
Cfo
Phone
(618) 443-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 14Z349 IL Primary

Addresses

Primary practice location

818 E Broadway St
Sparta, IL 62286-1820

Mailing address

PO Box 297
Sparta, IL 62286-0297
Phone (618) 443-1337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@spartahospital.hin.us

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822001196 IL Part A Provider - Critical Access Hospital 3971408295 Receives reassigned benefits from 1 practitioner
Practice locations: Sparta, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801818240. Details of each certification follow.

Hospital certification: CCN 14Z349

Legal name
SPARTA COMMUNITY HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
818 E Broadway St
Sparta, IL 62286-1820
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

5 Broadway Plz
Sparta, IL 62286
Phone (618) 443-2177

Ownership & related parties

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 DirectorBoard Member Jan 20, 2015
Dennis R Ernsting Individual Corporate DirectorBoard Member Jan 1, 1999
Jesica Gentry-Schlimme Individual Corporate Director Sep 18, 2020
Mildred K Hapke Individual Corporate DirectorBoard Member Sep 1, 2015
Lisa Ernsting Individual Corporate OfficerCfo Mar 7, 2022
W-2 Managing EmployeeCfo Mar 7, 2022
Christopher Haury Individual Corporate DirectorBoard Member Aug 1, 2006
James M Hayes Individual W-2 Managing Employee Aug 25, 2016
Claudia Kerens Individual Corporate DirectorBoard Member Jan 1, 1999
Sparta Community Hospital Organization, Sparta, IL Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Michael Howell Individual Corporate DirectorCfo Jul 10, 2020
Joann Emge Individual Corporate OfficerCeo Jul 1, 1966
W-2 Managing EmployeeCeo Jul 25, 2013
John Clendenin Individual Corporate Director Jul 15, 2016
Tyra Edmundson Individual Corporate Director Dec 23, 2020

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sparta Community HospitalSparta, IL, CCN 141349 Hospital Operational/Managerial Control Aug 29, 2013
Sparta Community HospitalSparta, IL, CCN 147694 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 7, 1998
Quality Healthcare ClinicsSparta, IL, CCN 143464 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 6, 2004
Quality Healthcare ClinicsSparta, IL, CCN 143489 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2006
Quality Healthcare ClinicsMarissa, IL, CCN 143490 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 18, 2007
Quality Healthcare ClinicsSteeleville, IL, CCN 143467 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 5, 2004

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1801818240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622860297",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861820",
            "telephone_number": "618-443-2177",
            "fax_number": "618-443-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ERNSTING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-443-2177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "14Z349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "818 E Broadway St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, IL

Sources for this page

Verify at the official NPI Registry.