| Organization Name: | SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS |
| NPI Number: | 1083721567 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE PERKEY (SUPERVISOR) |
| Mailing Address: | Coulterville Medical Clinic 203 East Grant Coulterville |
| State: | IL US |
| Postal Code: | 62237 |
| Phone Number: | 6187582331 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |