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CCH MEDICAL CLINIC
NPI 1811946411
Clinic/Center - Rural Health in Flora, IL

Active since May 09, 2006CLIA 14D0934419 · Waiver
929 STACEY BURK DR, FLORA, IL 62839(618) 662-2191(618) 662-1482 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2021, May 9, 2018 (2 updates tracked since 2018).

About Cch Medical Clinic NPPES

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

CCH MEDICAL CLINIC (NPI 1811946411) is a healthcare organization registered as a rural health in Flora, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Carrie Miller, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1811946411
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOUNTY OF CLAY
Location Address929 STACEY BURK DRFlora, IL 62839-3241
Mailing AddressPo Box 280Flora, IL 62839-0280 · (618) 662-2131 · Fax (618) 662-1482
Phone(618) 662-2191
Fax(618) 662-1482
Organization SubpartYes
Authorized OfficialCarrie MillerChief Nursing Officer · (618) 662-2131
Enumeration DateMay 9, 2006
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1811946411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
929 STACEY BURK DR, Flora, IL 62839
Open in Google Maps ↗

Other Names 1

Doing Business AsCch Medical Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D0934419

Cch Medical Clinic · Flora, IL
Active · expires Sep 24, 2026
CLIA Number14D0934419
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorBrandon Cycholl MD
Laboratory Phone(618) 662-2191
Laboratory LocationCch Medical Clinic929 Stacy Burk Drive PO Box 40, Flora, IL 62839
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MRS. GAYLE LOAR ERXLEBEN APN
Nurse Practitioner (Adult Health)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
MR. JAMES EDWARD COWGER JR. APN
Nurse Practitioner (Family)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
JESSICA LEWIS MPT
Physical Therapist
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-8060
MS. TERESA C. BOOSE LCSW
Social Worker (Clinical)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
CODY BURNETT DPT
Physical Therapist
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-8060
MRS. ANGELA CASOLARI APN
Nurse Practitioner (Family)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191
BRANDON CYCHOLL
Family Medicine
929 STACEY BURK DR, CLAY COUNTY HOSPITAL MEDICAL CLINIC
FLORA, IL 62839
Clay County (618) 662-2131
MS. JEANNE E. HOLDREN APN
Nurse Practitioner (Psychiatric/Mental Health)
929 STACEY BURK DR
FLORA, IL 62839
Clay County (618) 662-2191

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 1811946411. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Cch Medical Clinic.

Where is County Of Clay located?

County Of Clay is located at 929 Stacey Burk Dr, Flora, IL 62839. The listed phone number is (618) 662-2191.

What is County Of Clay's specialty?

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

Does County Of Clay hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0934419) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does County Of Clay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 with the weekly NPPES data releases published by CMS.