John Hall MD Rural Health Services

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

JOHN HALL MD RURAL HEALTH SERVICES

Practice address

3505 Broadway St Ste a
Mount Vernon, IL 62864-2202

Phone

(618) 244-7788

Fax

(618) 244-9330

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cathy D Lisenby, PA-CNPI 1346356524

Title

Office Manager

Phone

(618) 244-7788

Specialties & licenses 1

Addresses

Tax ID family

Benton Rural Health Clinic2 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.

• John T Hall M.D.

  • Rural Health Clinic/Center
  • Benton, IL
  • NPI 1841405610
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathy Diane Lisenby, PA-C

  • Physician Assistant
  • Mount Vernon, IL
  • NPI 1346356524
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1871706374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY ST STE A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642202",
            "telephone_number": "618-244-7788",
            "fax_number": "618-244-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY ST STE A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642202",
            "telephone_number": "618-244-7788",
            "fax_number": "618-244-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HALL MD RURAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LISENBY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-244-7788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Jenkins, LPN
• Judy K Jenkins, LPN
• Brittany L Jerger
• JJR Enterprises Inc
• JJR Enterprises Inc
• John Hall, M.D., P.C.
• Andrew Robert Johnson, M.D.
• Diane C Johnson, LCSW
• Mallory Johnston, MHP
• Megan Arlicia Kaye Jones, L.P.N

• Rural Health Clinic/Center in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.