NPIMap

Organization Active NPI

Henderson County Rural Health Center Inc

Doing business as Eagle View Community Health System

  • Federally Qualified Health Center (FQHC)
  • Stronghurst, IL
National Provider Identifier
1972662658
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HENDERSON COUNTY RURAL HEALTH CENTER INC
Doing business as
Eagle View Community Health System
Practice address
101 South Division
Stronghurst, IL 61480
Phone
(309) 924-1381
Fax
(309) 924-1389
NPI assigned
Dec 8, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Shannon Courson
Title
Executive Director
Phone
(309) 924-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

101 South Division
Stronghurst, IL 61480

Mailing address

PO Box 240
Stronghurst, IL 61480-0240
Phone (309) 924-2414

Other names 1

  • Eagle View Community Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070216000671 IL Part A Provider - Federally Qualified Health Center (FQHC) 3577596030 Practice locations: Stronghurst, IL
O20100824000623 IL Part B Supplier - Clinic/Group Practice 3577596030 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stronghurst, IL; Monmouth, IL; Oquawka, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972662658. Details of each certification follow.

Federally qualified health center certification: CCN 141040

Legal name
HENDERSON COUNTY RURAL HEALTH CENTER, INC
Doing business as
EAGLE VIEW COMMUNITY HEALTH SYSTEMS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 10, 2007
Last certification
Apr 10, 2007
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1979 in IL
Enrollment address
101S Division St
Stronghurst, IL 61480-5033

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2258113Eagle View Community Health System101 S Division, Stronghurst, IL 61480Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Henderson Cty Rural HLT4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shannon Courson Individual Operational/Managerial ControlExecutive Director Jul 21, 2008
Dillan Vancil Individual Corporate Director Oct 25, 2022
Karen Cole Individual Corporate Director Oct 1, 2006
David Giles Individual Corporate Director Jul 26, 2022
James a Blender Individual Corporate DirectorBoard of Directors Jul 23, 2019
Thomas Hill Individual Corporate Director Dec 25, 2021
Nancy Mowen Individual Corporate DirectorVice-President Jan 25, 2021
Angela Myers Individual Corporate DirectorBoard Member Oct 27, 2015
Brad Ray Individual Corporate DirectorBoard President Oct 25, 2021
Chase Gibb Individual Corporate Director Feb 28, 2023
Bobbi Tapscott Individual Corporate Director Nov 1, 2022

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Eagle View Community Health SystemMonmouth, IL, CCN 141811 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 7, 2022

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 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1972662658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "STRONGHURST",
            "state": "IL",
            "postal_code": "614800240",
            "telephone_number": "309-924-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH DIVISION",
            "city": "STRONGHURST",
            "state": "IL",
            "postal_code": "61480",
            "telephone_number": "309-924-1381",
            "fax_number": "309-924-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY RURAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "COURSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-924-2414"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle View Community Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stronghurst, IL

Sources for this page

Verify at the official NPI Registry.