FAYETTE COUNTY HOSPITAL DISTRICT (NPI# 1790146728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790146728 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY HOSPITAL DISTRICT |
| Other Organization Name | FCH EXPRESS CARE |
| Practice Address |
825 New York Dr Vandalia IL 62471-1044 |
| Mailing Address |
650 W Taylor St Vandalia IL 62471-1227 |
| Practice Telephone | 6182835545 |
| Mailing Telephone | 6182831231 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | MR. GREGORY STARNES (CEO) |
| Authorized Official Telephone | 6182835401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
0000695 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FCH Express Care | 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 |
| 1811199532 | Fayette County Hospital District | Clinic/Center | 515 N Main St, Saint Elmo, IL 62458-1638 | 2007-06-04 |
| 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 |
825 NEW YORK DR |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789451 | St. Mary's Hospital | Clinic/Center | 825 New York Dr, Ste 2, Vandalia, IL 62471-1044 | 2005-06-10 |
| 1700176765 | Veronica Lynn Schaufelberger | Nurse Practitioner | 825 New York Dr, Suite 2, Vandalia, IL 62471-1044 | 2011-04-12 |
| 1437399938 | Michelle Schmitt | Physical Therapist | 825 New York Dr, Vandalia, IL 62471-1044 | 2009-02-24 |
| 1528263811 | Beth Hall | Physical Therapist | 825 New York Dr, Vandalia, IL 62471-1044 | 2007-06-18 |
| 1114122793 | Amy Newsom | Occupational Therapist | 825 New York Dr, Vandalia, IL 62471-1044 | 2007-06-15 |
| 1033314604 | Melissa Hutchison | Physical Therapist | 825 New York Dr, Vandalia, IL 62471-1044 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285160747 | American Current Care of Ohio Pa Co | Clinic/Center | 10871 Engle Rd, Vandalia, OH 45377-9439 | 2017-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514090 | Elitecare Express LLC | Clinic/Center | 6740 Dempster St, Morton Grove, IL 60053-2609 | 2020-10-03 |
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1699397729 | Urgent Medical Care LLC | Clinic/Center | 980 Plainfield Rd, Willowbrook, IL 60527-1705 | 2020-05-12 |
| 1134749294 | Daniel Joseph Izewski | Clinic/Center | 3908 Elm St, Downers Grove, IL 60515-2119 | 2020-04-19 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
| 1457818536 | Wellnow Urgent Care, P.C. | Clinic/Center | 13448 Cicero Avenue, Crestwood, IL 60418-1430 | 2019-02-26 |
| 1215407812 | Illinois Urgent Care Professionals Pllc | Clinic/Center | 17960 Halsted St, Homewood, IL 60430-2014 | 2018-11-27 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1487134961 | Express Urgent Care LLC | Clinic/Center | 10604 Southwest Hwy, Suite 109, Chicago Ridge, IL 60415-2717 | 2018-08-15 |
| Find all providers with the same taxonomy | ||||
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| 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.