Crawford Hospital District
Clinic/Center, Rural Health in Oblong, IL. Organization (NPI-2).
NPI number1790769073
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1790769073
- Entity type
- Organization (NPI-2)
- Legal business name
- Crawford Hospital District
- Organization subpart
- Yes
- Enumeration date
- Dec 1, 2005
- Last updated
- Jun 24, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - RURAL HEALTH CLINIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Crawford Hospital District Dba Cmh Rural Health Oblong (Doing Business As)
Practice location
1366 East 1050th AveOblong, IL 62449-1426
Phone 618-592-3119 · Fax 618-546-2648
Mailing address
1000 N Allen StRobinson, IL 62454-1114
Phone 618-592-3119 · Fax 618-546-2648
Authorized official
Chris Bautista
Practice Management Officer
6185462460
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