Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLINVILLE AREA HOSPITAL ASSOCIATION
NPI 1568652436
Clinic/Center - Rural Health in Gillespie, IL

Q: What is Carlinville Area Hospital Association's specialty?

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

Active since July 27, 2007

715 BROADWAY ST, GILLESPIE, IL 62033(217) 839-4491(217) 839-2689 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 2, 2026, Dec 11, 2025, Jun 9, 2023 (3 updates tracked since 2023).

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About Carlinville Area Hospital Association NPPES

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

CARLINVILLE AREA HOSPITAL ASSOCIATION (NPI 1568652436), doing business as Gillespie Family Practice Center, is a healthcare organization registered as a rural health in Gillespie, Illinois and active in the NPI registry since July 2007. The organization lists Kristin Boldt, Assistant Cfo, as its authorized official.

NPPES Registry Identity

NPI1568652436

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCARLINVILLE AREA HOSPITAL ASSOCIATION

Location Address715 BROADWAY STGillespie, IL 62033-1166

Mailing Address715 Broadway StGillespie, IL 62033-1166 · (217) 839-4491 · Fax (217) 839-5030

Phone(217) 839-4491

Fax(217) 839-2689

Organization SubpartYes

Authorized OfficialKristin BoldtAssistant Cfo · (217) 854-3141

Enumeration DateJuly 27, 2007

Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1568652436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

715 BROADWAY ST, Gillespie, IL 62033

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Other Names 2

Doing Business AsGillespie Family Practice Center

Doing Business AsMacoupin Family Practice Center - Gillespie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlinville Area Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20030114000006Part A · Rural Health ClinicDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 9

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

MACOUPIN FAMILY PRACTICE CENTER, LLP

Family Medicine