Provider Demographics
NPI:1326153552
Name:SPARTA COMMUNTY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Entity Type:Organization
Organization Name:SPARTA COMMUNTY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Other - Org Name:QUALITY HEALTHCARE SURGERY
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-443-2177
Mailing Address - Street 1:211 SOUTH BURNS AVE
Mailing Address - Street 2:QUALITY HEALTHCARE SURGERY
Mailing Address - City:SPARTA
Mailing Address - State:IL
Mailing Address - Zip Code:62286
Mailing Address - Country:US
Mailing Address - Phone:618-443-3750
Mailing Address - Fax:
Practice Address - Street 1:211 SOUTH BURNS AVE
Practice Address - Street 2:QUALITY HEALTHCARE SURGERY
Practice Address - City:SPARTA
Practice Address - State:IL
Practice Address - Zip Code:62286
Practice Address - Country:US
Practice Address - Phone:618-443-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health