CLAY COUNTY HOSPITAL
NPI 1184655136
General Acute Care Hospital - Critical Access in Flora, IL

Active since July 06, 2006CLIA Certified · 3 labs
911 STACEY BURK DR, FLORA, IL 62839(618) 662-2131(618) 662-1482 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2021, May 10, 2018 (2 updates tracked since 2018).

About Clay County Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAY COUNTY HOSPITAL (NPI 1184655136) is a healthcare organization registered as a critical access in Flora, Illinois and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Carrie Miller, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1184655136
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCOUNTY OF CLAY
Location Address911 STACEY BURK DRFlora, IL 62839-3241
Mailing AddressPo Box 280Flora, IL 62839-0280 · (618) 662-2131 · Fax (618) 662-1482
Fax(618) 662-1482
Organization SubpartNo
Authorized OfficialCarrie MillerChief Nursing Officer · (618) 662-2131
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1184655136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License✔ Licensed in IL · 1813281
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 1744965 (IL)
911 STACEY BURK DR, Flora, IL 62839

Other Names 1

Doing Business AsClay County Hospital

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clay County Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

121

Medicare enrollment records show 121 clinicians reassign Medicare billing to Clay County Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Diagnostic Radiology83
Certified Registered Nurse Anesthetist (CRNA)14
Nurse Practitioner11
Pulmonary Disease3
Anesthesiology2
Family Practice2
Interventional Radiology2
Cardiac Electrophysiology1
3 other specialties3

Nearest to this location (20)

See all 121
Nurse Practitioner
NPI 1093341687
911 STACEY BURK DR
Flora, IL 62839
(618) 662-2131
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538165261
929 STACEY BURK DR
Flora, IL 62839
(618) 662-2131
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902056138
929 STACEY BURK DR
Flora, IL 62839
(618) 662-2191
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1144208349
929 STACEY BURK DR CLAY COUNTY HOSPITAL MEDICAL CLINIC
Flora, IL 62839
(618) 662-2131
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1497860811
929 STACEY BURK DR
Flora, IL 62839
(618) 662-2191
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1205983871
433 E 7TH ST
Flora, IL 62839
(618) 662-3018
✔ PECOS✔ Accepts Medicare0.7 mi
Chiropractic
NPI 1427068998
101 S. MAIN STREET
Louisville, IL 62858
(618) 665-3070
✔ Accepts Medicare6.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841380508
303 NW 11TH ST
Fairfield, IL 62837
(618) 842-2611
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1548657158
303 NW 11TH ST
Fairfield, IL 62837
(618) 842-4617
✔ PECOS✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417054438
800 E LOCUST ST
Olney, IL 62450
(618) 395-7340
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1295280790
401 N MULBERRY ST
Effingham, IL 62401
(618) 553-8684
✔ PECOS✔ Accepts Medicare31 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871773879
605 N 12TH ST
Mount Vernon, IL 62864
(618) 241-1108
✔ PECOS✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184191363
2 GOOD SAMARITAN WAY STE 205
Mount Vernon, IL 62864
(618) 899-3869
✔ PECOS✔ Accepts Medicare35 mi
Pulmonary Disease
NPI 1396919544
2 GOOD SAMARITAN WAY STE 420
Mount Vernon, IL 62864
(618) 899-4000
✔ PECOS✔ Accepts Medicare35 mi
Diagnostic Radiology
NPI 1467407072
1 GOOD SAMARITAN WAY RADIOLOGY DEPT
Mount Vernon, IL 62864
(618) 242-4600
✔ PECOS✔ Accepts Medicare35 mi
Diagnostic Radiology
NPI 1326095670
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 242-4600
✔ PECOS✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437719093
8 DOCTORS PARK RD
Mount Vernon, IL 62864
(618) 244-5500
✔ PECOS✔ Accepts Medicare36 mi
Pulmonary Disease
NPI 1396026506
4106 S WATER TOWER PL
Mount Vernon, IL 62864
(618) 242-8900
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1912499971
1510 SUNSET DR
Vandalia, IL 62471
(618) 283-3144
✔ PECOS✔ Accepts Medicare40 mi
Anesthesiology
NPI 1720064439
3333 W DEYOUNG ST
Marion, IL 62959
(618) 998-7000
✔ PECOS✔ Accepts Medicare71 mi
See all 121 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2116697

Clay County Hospital Louisville Clinic · Louisville, IL
Active · expires Jul 28, 2028
CLIA Number14D2116697
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 29, 2026
Certificate Expiration DateJuly 28, 2028
Laboratory DirectorJason Jerabek Do
Laboratory Phone(618) 662-2131
Laboratory LocationClay County Hospital Louisville Clinic14265 Us Hwy 45, Louisville, IL 62858
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2110284

Clay County Hospital Clay City Med Clinic · Clay City, IL
Active · expires Mar 10, 2028
CLIA Number14D2110284
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorJason Jerabek Do
Laboratory Phone(618) 662-2131
Laboratory LocationClay County Hospital Clay City Med Clinic939 Sunset Rd SW, Clay City, IL 62824
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0436133

Clay County Hospital Laboratory · Flora, IL
Active · expires Jan 2, 2027
CLIA Number14D0436133
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Terakeith Lertsburapa
Laboratory Phone(618) 662-1679
Laboratory LocationClay County Hospital Laboratory911 Stacy Burk Drive, Flora, IL 62839
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Clay's NPI number?

The NPI number for County Of Clay is 1184655136. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Clay County Hospital.

Where is County Of Clay located?

County Of Clay is located at 911 Stacey Burk Dr, Flora, IL 62839. The listed phone number is (618) 662-2131.

What is County Of Clay's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is County Of Clay enrolled in Medicare?

Yes. County Of Clay is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Clay?

According to the CMS Revalidation Reassignment List (October 2026 release), 121 clinicians in 11 Medicare specialties reassign their Medicare billing to County Of Clay. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (83), Certified Registered Nurse Anesthetist (CRNA) (14) and Nurse Practitioner (11). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does County Of Clay hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does County Of Clay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list County Of Clay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Clay was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.