Sparta Community Hospital | |
818 E. Broadway Street Sparta IL 62286-0297 | |
(618) 443-1337 | |
(618) 443-1383 |
Full Name | Sparta Community Hospital |
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Speciality | Clinic/Center |
Location | 818 E. Broadway Street, 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 |
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Sparta Community Hospital Po Box 297 Sparta IL 62286-0297 Ph: (618) 443-1337 | Sparta Community Hospital 818 E. Broadway Street Sparta IL 62286-0297 Ph: (618) 443-1337 |
NPI Number | 1114984226 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 05/16/2023 |
Medicare PECOS PAC ID | 6709870462 |
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Medicare Enrollment ID | O20040414000594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114984226 | NPI | - | NPPES |
CH0349 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Steven A Roodman |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1720064439 PECOS PAC ID: 7012820897 Enrollment ID: I20040216000980 |
Provider Name | Michael Jeffrey Barkoviak |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1609867142 PECOS PAC ID: 4486620325 Enrollment ID: I20040902000666 |
Provider Name | Meher S Mallick |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1093789034 PECOS PAC ID: 7911950852 Enrollment ID: I20050303000513 |
Provider Name | Vonda K Walker |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1679674857 PECOS PAC ID: 3870531361 Enrollment ID: I20050425000814 |
Provider Name | Kostantinos E Psihramis |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1902889793 PECOS PAC ID: 2961313390 Enrollment ID: I20060202000185 |
Provider Name | Elvira Salarda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114984283 PECOS PAC ID: 7719994854 Enrollment ID: I20060314000406 |
Provider Name | Mark D Preuss |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952368110 PECOS PAC ID: 3971510017 Enrollment ID: I20060314000419 |
Provider Name | Shawn D Beckemeyer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023075264 PECOS PAC ID: 7810904976 Enrollment ID: I20060314000597 |
Provider Name | Russell E Coulter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548227606 PECOS PAC ID: 3870515661 Enrollment ID: I20060314000618 |
Provider Name | Franklin James |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659338713 PECOS PAC ID: 5193732261 Enrollment ID: I20060314000671 |
Provider Name | David Chung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417914557 PECOS PAC ID: 5092722165 Enrollment ID: I20060314000682 |
Provider Name | Christopher C Moore |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1013941392 PECOS PAC ID: 7810968476 Enrollment ID: I20061219000490 |
Provider Name | Deanne C Rieckenberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003881244 PECOS PAC ID: 5092811232 Enrollment ID: I20070503000525 |
Provider Name | Giuseppe C Aliperti |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144264698 PECOS PAC ID: 7416957022 Enrollment ID: I20080402000452 |
Provider Name | Justin D Craft |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134368707 PECOS PAC ID: 0941358717 Enrollment ID: I20090505000272 |
Provider Name | Kelly Wood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619193869 PECOS PAC ID: 9335293653 Enrollment ID: I20090820000193 |
Provider Name | Abby M Woods |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275822587 PECOS PAC ID: 3779751722 Enrollment ID: I20110719000581 |
Provider Name | Jeffry L Peterson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164569729 PECOS PAC ID: 8729164397 Enrollment ID: I20120927000800 |
Provider Name | Tong Zhu |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1184853152 PECOS PAC ID: 8022243740 Enrollment ID: I20131104001470 |
Provider Name | Holly A Wilke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386064996 PECOS PAC ID: 3173845302 Enrollment ID: I20141125001472 |
Provider Name | Christopher D Bourget |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1275900656 PECOS PAC ID: 1355647934 Enrollment ID: I20160308000978 |
Provider Name | Joseph Specker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255706818 PECOS PAC ID: 3870892961 Enrollment ID: I20160425000002 |
Provider Name | Logan Taylor |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972962561 PECOS PAC ID: 5890088611 Enrollment ID: I20160801000872 |
Provider Name | Sandra S Hoffmann |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1477565893 PECOS PAC ID: 4981772233 Enrollment ID: I20160802003198 |
Provider Name | Destiny A Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265976039 PECOS PAC ID: 7911289251 Enrollment ID: I20170123001593 |
Provider Name | Ashley N Hundelt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740720143 PECOS PAC ID: 1951686294 Enrollment ID: I20170328002374 |
Provider Name | Robert Bell |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1851371082 PECOS PAC ID: 8820124803 Enrollment ID: I20170405001369 |
Provider Name | Nickie R Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609316710 PECOS PAC ID: 4082990320 Enrollment ID: I20170420002200 |
Provider Name | Ziya Baghmanli |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1699068767 PECOS PAC ID: 4688978240 Enrollment ID: I20170627001916 |
Provider Name | Amy H Eppstein |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1962761122 PECOS PAC ID: 1355635996 Enrollment ID: I20170724003237 |
Provider Name | Jordan Priebe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477088292 PECOS PAC ID: 1456621192 Enrollment ID: I20170727003631 |
Provider Name | Carrie Lutman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073030789 PECOS PAC ID: 2769749407 Enrollment ID: I20171205001111 |
Provider Name | Victoria Marie Koch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336656537 PECOS PAC ID: 5496010704 Enrollment ID: I20180606003520 |
Provider Name | Jennifer Ann Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922576859 PECOS PAC ID: 1456697903 Enrollment ID: I20190104000811 |
Provider Name | Jennifer Adele Demsar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396218202 PECOS PAC ID: 8729326160 Enrollment ID: I20190211002390 |
Provider Name | Margret De Guzman |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477852028 PECOS PAC ID: 6103047543 Enrollment ID: I20190510000846 |
Provider Name | Ronnie Bower |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033292024 PECOS PAC ID: 2062514474 Enrollment ID: I20190603001055 |
Provider Name | Shannon Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942712310 PECOS PAC ID: 7113356932 Enrollment ID: I20200330003677 |
Provider Name | Melanie Janette Wahl |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1609072933 PECOS PAC ID: 4385790765 Enrollment ID: I20200604000355 |
Provider Name | Vanessa Larraine Williams |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1306297130 PECOS PAC ID: 1658663513 Enrollment ID: I20210514000033 |
Provider Name | Tiffany Marie Hostert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467128363 PECOS PAC ID: 7618374513 Enrollment ID: I20210920002364 |
Provider Name | Maxwell Martin Hayden |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093211955 PECOS PAC ID: 8527465756 Enrollment ID: I20210930000827 |
Provider Name | Inessa Chernysh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437651064 PECOS PAC ID: 0345638011 Enrollment ID: I20211029000087 |
Provider Name | Tyler Ryan Tanzyus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245856657 PECOS PAC ID: 1759779291 Enrollment ID: I20211102002184 |
Provider Name | Matthew Schilling |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1285206912 PECOS PAC ID: 3577967215 Enrollment ID: I20230117000197 |
Provider Name | Helaine Blomenkamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336735273 PECOS PAC ID: 3072987056 Enrollment ID: I20230314001050 |
Provider Name | Ashley Renee Friederich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538859103 PECOS PAC ID: 0547614794 Enrollment ID: I20230921004222 |
Provider Name | Febijesusola Oyelana |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679144315 PECOS PAC ID: 3779987151 Enrollment ID: I20240416002850 |
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 | |
Deaconess Illinois Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Burns Ave, Sparta, IL 62286 Phone: 618-443-2858 Fax: 618-939-4256 | |
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 | |
Sparta Medical Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 S Burns Ave, Sparta, IL 62286 Phone: 618-443-4889 Fax: 618-443-1345 | |
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 |