# SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPECIALTY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154626448
- **Authorized official:** MR. MICHAEL HAYES (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (618) 443-2177

## Contact information

- **Practice address:** 818 E BROADWAY ST, SPARTA, IL 62286
- **Practice address phone:** (618) 443-2177
- **Practice address fax:** (618) 443-1358
- **Mailing address:** 818 E BROADWAY ST, SPARTA, IL 62286-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 08/21/2018