# HSHS PRAIRIE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HSHS PRAIRIE, INC
- **Other names:** HSHS Prairie Primary Care - Dieterich, HSHS Medical Group Family Medicine - Dieterich
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033841192
- **Legal business name:** HSHS PRAIRIE, INC
- **Authorized official:** HEATH M. ROBERTS (PRESIDENT)
- **Authorized official phone:** (217) 492-9648

## Contact information

- **Practice address:** 207 S MAIN ST, DIETERICH, IL 62424-1128
- **Practice address phone:** (217) 925-5730
- **Mailing address:** 3051 HOLLIS DR FL 2, SPRINGFIELD, IL 62704-7450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 10/15/2026