Organization
SPARTA COMMUNITY HOSPITAL
Active
Other names
At-Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ERNSTING (CFO)
(618) 443-2177
Entity
Organization
Contact information
Practice address
5 BROADWAY PLZ, SPARTA, IL 62286-1800
(618) 443-2177
(618) 443-1354
Mailing address
PO BOX 297, SPARTA, IL 62286-0297
(618) 443-1337
(618) 443-1383
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1009653
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009653
IDPH ID NUMBER
IL
01
—
5080
BCBS PROVIDER NUMBER
IL
Enumeration date
08/03/2006
Last updated
11/04/2025
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