HSHS MEDICAL GROUP INC (NPI# 1801953476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801953476 |
| Entity Type | Organization |
| Organization Name | HSHS MEDICAL GROUP INC |
| Other Organization Name | HSHS MEDICAL GROUP FAMILY MEDICINE - TABLE GROVE |
| Practice Address |
130 N. Broadway Table Grove IL 61482-0144 |
| Mailing Address |
130 N Broadway St P O Box 144 Table Grove IL 61482-9593 |
| Practice Telephone | 3097585070 |
| Practice Fax Number | 3097585007 |
| Mailing Telephone | 3097585070 |
| Mailing Fax Number | 3097585007 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | MISS MELINDA CLARK (CEO) |
| Authorized Official Telephone | 2175235406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HSHS Medical Group Family Medicine - Table Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1952798746 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1603 W Washington St, Springfield, IL 62702-4757 | 2015-04-20 |
| 1962644807 | Hshs Medical Group Inc | Clinic/Center | 3051 Hollis Dr, Springfield, IL 62704-7450 | 2009-03-24 |
| 1851536296 | Hshs Medical Group Inc | Clinic/Center | 12860 Troxler Avenue, Highland, IL 62249-2806 | 2008-12-15 |
| 1417906959 | Hshs Medical Group Inc | Clinic/Center | 1220 E. Tremont, Suite A, Hillsboro, IL 62049-1509 | 2006-05-10 |
| 1679108351 | Hshs Medical Group Inc | Clinic/Center | 3 Do It Dr, Altamont, IL 62411-1135 | 2020-03-03 |
| 1265904486 | Hshs Medical Group Inc | Clinic/Center | 900 W Temple Ave Ste 1500, Effingham, IL 62401-2121 | 2018-12-28 |
| 1265819379 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3631 S 6th St, Springfield, IL 62703-4777 | 2015-04-28 |
| 1790172583 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2015-04-20 |
| 1528455318 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 100 W 15th St, Beardstown, IL 62618-1774 | 2015-04-20 |
| Street Address |
130 N. BROADWAY |
| City | TABLE GROVE |
| State | IL |
| Zip Code | 61482-0144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351952 | Schuyler County Hospital District Health Center | Clinic/Center | 130 N Broadway St, Table Grove, IL 61482-9593 | 2019-02-04 |
| 1194223719 | Schuyler County Hospital District | Clinic/Center | 130 N Broadway St, Table Grove, IL 61482-9593 | 2018-01-29 |
| 1225381791 | Amber Rector | Physician Assistant | 130 N Broadway St, Table Grove, IL 61482-9593 | 2012-10-22 |
| 1780886291 | V I T Comm Unit Sch District 2 | Local Education Agency (LEA) | 1502 E Us 136, Table Grove, IL 61482-9705 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780886291 | V I T Comm Unit Sch District 2 | Local Education Agency (LEA) | 1502 E Us 136, Table Grove, IL 61482-9705 | 2007-06-05 |
| 1801351952 | Schuyler County Hospital District Health Center | Clinic/Center | 130 N Broadway St, Table Grove, IL 61482-9593 | 2019-02-04 |
| 1194223719 | Schuyler County Hospital District | Clinic/Center | 130 N Broadway St, Table Grove, IL 61482-9593 | 2018-01-29 |
| 1225381791 | Amber Rector | Physician Assistant | 130 N Broadway St, Table Grove, IL 61482-9593 | 2012-10-22 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351952 | Schuyler County Hospital District Health Center | Clinic/Center | 130 N Broadway St, Table Grove, IL 61482-9593 | 2019-02-04 |
| 1194223719 | Schuyler County Hospital District | Clinic/Center | 130 N Broadway St, Table Grove, IL 61482-9593 | 2018-01-29 |
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| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | TABLE GROVE |
| Zip Code | 61482 |
Please comment or provide details below to improve the information on HSHS MEDICAL GROUP INC.
| 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.