| Rural Health, Inc. | |
|
513 N Main St Anna IL 62906-1668 | |
| (618) 833-4471 | |
| (618) 833-8878 |
| Full Name | Rural Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 513 N Main St, Anna, Illinois |
| Authorized Official Name and Position | Cynthia K Flamm (CEO) |
| Authorized Official Contact | 6188334471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health, Inc. 513 N Main St Anna IL 62906-1668 Ph: (618) 833-4471 | Rural Health, Inc. 513 N Main St Anna IL 62906-1668 Ph: (618) 833-4471 |
| NPI Number | 1982666384 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 6800705427 |
|---|---|
| Medicare Enrollment ID | O20040518000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982666384 | NPI | - | NPPES |
| 055761 | Other | IL | HEALTH ALLIANCE |
| L1001082 | Other | IL | TRICARE |
| 111760 | Other | IL | HEALTHLINK |
| 9115000 | Other | IL | BCBS ANNA |
| L1001082 | Other | IL | CHAMPVA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sherry L Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912908906 PECOS PAC ID: 1557356789 Enrollment ID: I20040417000233 |
| Provider Name | Francis H Tsung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700870987 PECOS PAC ID: 5294701413 Enrollment ID: I20040908001185 |
| Provider Name | Karen A Strack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700855871 PECOS PAC ID: 7719890839 Enrollment ID: I20061019000382 |
| Provider Name | William Gerard Ribbing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245238625 PECOS PAC ID: 2264341882 Enrollment ID: I20100611000168 |
| Provider Name | Christine M Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346248374 PECOS PAC ID: 6709901861 Enrollment ID: I20100913000544 |
| Provider Name | Amanda J Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942620372 PECOS PAC ID: 3870719255 Enrollment ID: I20140721000653 |
| Provider Name | Megan Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013464692 PECOS PAC ID: 2860773280 Enrollment ID: I20161227000234 |
| Provider Name | Cynthia K Flamm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891223533 PECOS PAC ID: 4183700800 Enrollment ID: I20170605002594 |
| Provider Name | Keith Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440179 PECOS PAC ID: 7517230014 Enrollment ID: I20170905002980 |
| Provider Name | Elizabeth Shallenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300094 PECOS PAC ID: 7719231562 Enrollment ID: I20181113002809 |
| Provider Name | Emily Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871076703 PECOS PAC ID: 5698013423 Enrollment ID: I20190220002114 |
| Provider Name | Katherine Painter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295171023 PECOS PAC ID: 0648569335 Enrollment ID: I20190405001107 |
| Provider Name | Erica Vining |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303292 PECOS PAC ID: 5092057141 Enrollment ID: I20190422001264 |
| Provider Name | Rachael Wernsman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417590639 PECOS PAC ID: 9133451743 Enrollment ID: I20191031002403 |
| Provider Name | Robert Dale Arnold |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891915609 PECOS PAC ID: 1557666567 Enrollment ID: I20200117000027 |
| Provider Name | Morgan N Atherton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609414069 PECOS PAC ID: 7719313972 Enrollment ID: I20200206000535 |
| Provider Name | Theresa Bainbridge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639797624 PECOS PAC ID: 5698190262 Enrollment ID: I20200730001741 |
| Provider Name | Marla Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033764881 PECOS PAC ID: 5597183996 Enrollment ID: I20200917000301 |
| Provider Name | Dennis Edward Gade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952066656 PECOS PAC ID: 4880085539 Enrollment ID: I20220106002554 |
| Provider Name | Maria Barbagallo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669127312 PECOS PAC ID: 5294120077 Enrollment ID: I20220314000872 |
| Provider Name | Russell Gene Boester |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982621686 PECOS PAC ID: 2769878743 Enrollment ID: I20220330001949 |
| Provider Name | Michael Peter Holub |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134266620 PECOS PAC ID: 6305227695 Enrollment ID: I20220718003009 |
| Provider Name | Morgan Leigh Torrez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700371762 PECOS PAC ID: 6305190653 Enrollment ID: I20220720002125 |
| Provider Name | Raymond C Otte |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063632818 PECOS PAC ID: 4587040951 Enrollment ID: I20221008000058 |
| Provider Name | Jessica Nicole Reichert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790400661 PECOS PAC ID: 0042675993 Enrollment ID: I20230427001138 |
| Provider Name | Knichole Leanne Tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487359394 PECOS PAC ID: 0244699767 Enrollment ID: I20230630002414 |
| Provider Name | Jennifer Ting |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912687336 PECOS PAC ID: 9133582091 Enrollment ID: I20230825001615 |
| Provider Name | Alaa Alshair |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508519281 PECOS PAC ID: 3577919364 Enrollment ID: I20231031001586 |
| Provider Name | Adam Brock Goforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356173124 PECOS PAC ID: 8325570104 Enrollment ID: I20241017003122 |