| Sparta Medical Office | |
|
215 S Burns Ave Sparta IL 62286-1894 | |
| (618) 443-4889 | |
| (618) 443-1345 |
| Full Name | Sparta Medical Office |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 S Burns Ave, Sparta, 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 Medical Office Po Box 297 Sparta IL 62286-0297 Ph: (618) 443-1337 | Sparta Medical Office 215 S Burns Ave Sparta IL 62286-1894 Ph: (618) 443-4889 |
| NPI Number | 1740395003 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 6709870462 |
|---|---|
| Medicare Enrollment ID | O20061011000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740395003 | NPI | - | NPPES |
| 143489 | Other | IL | RHC PROVIDER NUMBER OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
Sparta Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 818 E. Broadway Street, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383 |
Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 E Broadway St, Sparta, IL 62286 Phone: 618-443-2177 Fax: 618-443-1358 |
Quality Healthcare Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 Phone: 618-443-3750 |
North Campus Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-4138 Fax: 618-443-2956 |
Family Health Centre Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 S Burns Ave, Sparta, IL 62286 Phone: 618-443-3084 Fax: 618-443-1347 |
Southwestern Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Burns Ave, Sparta, IL 62286 Phone: 618-443-1303 Fax: 618-443-1474 |