FAYETTE COUNTY HOSPITAL DISTRICT (NPI# 1710410816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710410816 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY HOSPITAL DISTRICT |
| Other Organization Name | FCH GREENVILLE FAMILY PRACTICE |
| Practice Address |
308 W College Ave Greenville IL 62246 |
| Mailing Address |
650 W Taylor St. Vandalia IL 62471 |
| Practice Telephone | 6186640271 |
| Mailing Telephone | 6182831231 |
| Mailing Fax Number | 6182839977 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2019-07-28 |
| Authorized Official Name | SHERI R. HOPKINS (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6182835444 |
| Authorized Official Credential | BS, RHIT, CPHQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FCH Greenville Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790146728 | Fayette County Hospital District | Clinic/Center | 825 New York Dr, Vandalia, IL 62471-1044 | 2016-03-18 |
| 1811199532 | Fayette County Hospital District | Clinic/Center | 515 N Main St, Saint Elmo, IL 62458-1638 | 2007-06-04 |
| 1568500510 | Fayette County Hospital District | Clinic/Center | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2007-02-02 |
| 1497868772 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471 | 2006-08-17 |
| 1306959689 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471-1227 | 2006-08-17 |
| 1912988734 | Fayette County Hospital District | General Acute Care Hospital | 650 W Taylor St, Vandalia, IL 62471-1227 | 2005-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAYETTE COUNTY HOSPITAL DISTRICT, THE | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Street Address |
308 W COLLEGE AVE |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1770936692 | Bavithira Abivarshia Devasenathipathy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246 | 2016-07-15 |
| 1477908614 | Sarah Lynn Hulbert | Social Worker | 1520 S 4th St, Prairie Counseling Center, Greenville, IL 62246 | 2016-04-25 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477979672 | Rmcca Clinic A, LLC | Clinic/Center | 300 N College Street, Greenville, AL 36037 | 2014-03-12 |
| 1144669375 | Delta Wellness Clinic for Families LLC | Clinic/Center | 1585 S Main St, Greenville, MS 38701-7008 | 2013-06-20 |
| 1326353798 | Blaylock Medical Clinic Pa | Clinic/Center | 130 E Walker St, Greenville, MS 38701-4766 | 2010-08-10 |
| 1871826743 | Ambulatory Medicine Associates, LLC | Clinic/Center | 532 Sulphur Springs Rd, Greenville, SC 29617-6206 | 2009-09-10 |
| 1376798546 | Greenville Specialty Clinic | Clinic/Center | 1508 Hospital St, Greenville, MS 38703-3219 | 2008-12-01 |
| 1588835243 | Mauldin Medical Associates | Clinic/Center | 3443 Pelham Rd, Suite 200, Greenville, SC 29615-4178 | 2008-03-20 |
| 1831172279 | Mauldin Medical Associates, Pa | Clinic/Center | 545 W Butler Rd, Greenville, SC 29607-4833 | 2005-11-21 |
| 1679171995 | New Hope Medical Primary & Urgent Care Clinic, LLC | Clinic/Center | 585 Tennessee Gas Rd, Greenville, MS 38701-8143 | 2020-10-09 |
| 1417481474 | The Downtown Family Clinic, LLC | Clinic/Center | 345 Washington Ave, Greenville, MS 38701-3615 | 2017-04-17 |
| 1124481791 | Family Care Clinic, Pllc | Clinic/Center | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2016-04-01 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
Please comment or provide details below to improve the information on FAYETTE COUNTY HOSPITAL DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.