FAYETTE COUNTY HOSPITAL DISTRICT (NPI# 1811199532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811199532 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY HOSPITAL DISTRICT |
| Other Organization Name | FCH RURAL HEALTH ST. ELMO |
| Practice Address |
515 N Main St Saint Elmo IL 62458-1638 |
| Practice Telephone | 6188299200 |
| Practice Fax Number | 6188299309 |
| Mailing Telephone | 6188299200 |
| Mailing Fax Number | 6188299309 |
| Enumeration Date | 2007-06-04 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
042007886 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 371363933001 | 05 |
| Other Name | Type Code |
|---|---|
| FCH Rural Health St. Elmo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| 1790146728 | Fayette County Hospital District | Clinic/Center | 825 New York Dr, Vandalia, IL 62471-1044 | 2016-03-18 |
| 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 |
515 N MAIN ST |
| City | SAINT ELMO |
| State | IL |
| Zip Code | 62458-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750483657 | Hasin Shah | General Practice | 515 N Main Street, St Elmo, IL 62458 | 2006-09-01 |
| 1710105655 | St Elmo Community Unit School District | Local Education Agency (LEA) | 1200 N Walnut St, Saint Elmo, IL 62458-1368 | 2007-04-24 |
| 1164717534 | Barbara Gayle Kilzer | Massage Therapist | 217 E 10th St, Saint Elmo, IL 62458-1506 | 2011-06-14 |
| 1902978976 | Jo Sue Stine | Registered Nurse | 302 N Main St, Saint Elmo, IL 62458-1635 | 2006-11-14 |
| 1346210630 | Friendship Manor of St Elmo Inc | Skilled Nursing Facility | 221 E Cumberland Rd, St Elmo, IL 62458-1662 | 2006-01-26 |
| 1003458902 | Aperion Care St Elmo LLC | Durable Medical Equipment & Medical Supplies | 221 E Cumberland Rd, Saint Elmo, IL 62458-1662 | 2019-10-11 |
| 1962056853 | Ashley Yardley | Nurse Practitioner | 221 E Cumberland Rd, Saint Elmo, IL 62458-1662 | 2019-07-29 |
| 1194148346 | Aperion Care St Elmo LLC | Durable Medical Equipment & Medical Supplies | 221 E Cumberland Rd, Saint Elmo, IL 62458-1662 | 2014-01-23 |
| 1003451840 | Meraki Therapies Inc. | Speech-Language Pathologist | 2107 N 2090 St, Saint Elmo, IL 62458-4093 | 2019-11-15 |
| 1720146723 | Victoria Lynn Pattillo | Speech-Language Pathologist | Rr 2 Box 251d, Saint Elmo, IL 62458-9586 | 2006-12-04 |
| Find all providers in zip 62458 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 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 | SAINT ELMO |
| Zip Code | 62458 |
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.