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NPI Code Detail

MEDICARE: SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS

MEDICARE: SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1143464OTHERILRHC LOCATION PROVIDER

General Provider Information

NPI Number : 1740395045
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Provider Business Mailing Address
First Line : PO BOX 297
Second Line :
City : SPARTA
State : IL
Zip : 62286-0297
Country : US
Telephone Number : 618-443-1337
Fax Number : 618-443-1383
Provider Business Practice Location Address
First Line : 1300 N MARKET ST
Second Line :
City : SPARTA
State : IL
Zip : 62286-1048
Country : US
Telephone Number : 618-443-4138
Fax Number : 618-443-2956
Authorized Official
Title or Position : CFO
Name : MRS. LISA ERNSTING
Credential :
Telephone Number : 618-433-2177
Provider Enumeration Date : 08/20/2006
Last Update Date : 05/16/2023

Similar Medicare Providers

1255051942 — CAYLEE DAWN FRANKLIN PA-C
Practice Location Address:
1300 N MARKET ST
SPARTA, IL
62286-1048
Practice Phone: 618-443-4138
Practice Fax: 618-443-3327
1457311631 — MARK ALAN ANKENBRAND P.T.
Practice Location Address:
1300 N. MARKET
SPARTA, IL
62286-1048
Practice Phone: 618-443-2177
Practice Fax: 618-443-4731
1992762116 — DANA LAKATOS PA-C
Practice Location Address:
1300 N MARKET ST
SPARTA, IL
62286-1048
Practice Phone: 618-443-1337
Practice Fax: 618-443-1383
1417914557 — DAVID TAEWOONG CHUNG MD
Practice Location Address:
1300 N MARKET ST
SPARTA, IL
62286-1048
Practice Phone: 618-443-4138
Practice Fax: 618-443-2956
1477502862 — DR. SCOTT I BARCLAY M.D.
Practice Location Address:
1300 N MARKET ST
SPARTA, IL
62286-1048
Practice Phone: 618-443-1337
Practice Fax: 618-443-1383
1215101191 — MRS. AMY LYNN KOUDELKA
Practice Location Address:
1300 N MARKET ST
SPARTA, IL
62286-1048
Practice Phone: 618-443-2177
Practice Fax: 618-443-4731

Directions to “SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS ” Practice Location

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