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COMMUNITY CLINIC OF STAUNTON
NPI 1508305418
Clinic/Center - Rural Health in Staunton, IL

Active since February 13, 2017CLIA 14D1093839 · Waiver
325 N CALDWELL ST, STAUNTON, IL 62088(618) 635-2221 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2020, Feb 23, 2017, Feb 13, 2017 (3 updates tracked since 2017).

About Community Clinic Of Staunton NPPES

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

COMMUNITY CLINIC OF STAUNTON (NPI 1508305418) is a healthcare organization registered as a rural health in Staunton, Illinois and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Larry Spour, President, as its authorized official.

NPPES Registry Identity

NPI1508305418
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY HOSPITAL OF STAUNTON
Location Address325 N CALDWELL STStaunton, IL 62088-1421
Mailing Address325 N Caldwell StStaunton, IL 62088-1421 · (618) 635-2221
Phone(618) 635-2221
Organization SubpartNo
Authorized OfficialLarry SpourPresident · (618) 542-1089
Enumeration DateFebruary 13, 2017
Last NPPES UpdateDecember 28, 20233 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1508305418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
325 N CALDWELL ST, Staunton, IL 62088
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Other Names 1

Doing Business AsCommunity Clinic Of Staunton

CLIA Laboratory Certificates CMS CLIA

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 14D1093839

Community Clinic Of Staunton · Staunton, IL
Active · expires Jan 4, 2027
CLIA Number14D1093839
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorJosh Buschling
Laboratory Phone(618) 635-2221
Laboratory LocationCommunity Clinic Of Staunton325 N Caldwell Street, Staunton, IL 62088
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMERITO FERNANDEZ URETA MD
Family Medicine
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221
JOSH BUSCHLING D.O.
Family Medicine
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221
AMBER MARIE GEILHAUSEN FNP
Nurse Practitioner (Family)
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221
MRS. AJIN VARGHESE FNP-C
Nurse Practitioner (Family)
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221

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 Community Hospital Of Staunton's NPI number?

The NPI number for Community Hospital Of Staunton is 1508305418. It was assigned to this organization in the NPPES registry on February 13, 2017. The provider is doing business as Community Clinic Of Staunton.

Where is Community Hospital Of Staunton located?

Community Hospital Of Staunton is located at 325 N Caldwell St, Staunton, IL 62088. The listed phone number is (618) 635-2221.

What is Community Hospital Of Staunton's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Community Hospital Of Staunton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1093839) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Hospital Of Staunton was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.