# HSHS PRAIRIE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962644807
- **Authorized official:** HEATH M. ROBERTS (PRESIDENT)
- **Authorized official phone:** (217) 492-9648

## Contact information

- **Practice address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Practice address phone:** (217) 523-5406
- **Practice address fax:** (217) 492-9643
- **Mailing address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Mailing address phone:** (217) 523-5406
- **Mailing address fax:** (217) 492-9643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2009
- **Last updated:** 10/15/2026