# SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coulterville Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083721567
- **Authorized official:** MRS. LISA ERNSTING (CFO)
- **Authorized official phone:** (618) 443-2177

## Contact information

- **Practice address:** 203 E GRANT ST, COULTERVILLE, IL 62237-1623
- **Practice address phone:** (618) 758-2331
- **Practice address fax:** (618) 758-2819
- **Mailing address:** PO BOX 297, SPARTA, IL 62286-0297
- **Mailing address phone:** (618) 443-1337
- **Mailing address fax:** (618) 443-1383

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 05/16/2023