| Sparta Community Hospital D/b/a Quality Healthcare Clinics | |
|
521 N Borders Ave Ste C Marissa IL 62257-1195 | |
| (618) 295-1591 | |
| (618) 295-1473 |
| Full Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 521 N Borders Ave Ste C, Marissa, Illinois |
| Authorized Official Name and Position | Lisa Ernsting (CFO) |
| Authorized Official Contact | 6184332177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparta Community Hospital D/b/a Quality Healthcare Clinics Po Box 297 Sparta IL 62286-0297 Ph: (618) 443-1337 | Sparta Community Hospital D/b/a Quality Healthcare Clinics 521 N Borders Ave Ste C Marissa IL 62257-1195 Ph: (618) 295-1591 |
| NPI Number | 1922114800 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 6709870462 |
|---|---|
| Medicare Enrollment ID | O20061011000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922114800 | NPI | - | NPPES |
| 143490 | Other | IL | RHC PROVIDER NUMBER OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |