JOHN HALL MD RURAL HEALTH SERVICES
NPI 1871706374
Clinic/Center - Rural Health in Mount Vernon, IL

Active since May 08, 2007
3505 BROADWAY ST STE A, MOUNT VERNON, IL 62864(618) 244-7788(618) 244-9330 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Hall Md Rural Health Services NPPES

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

JOHN HALL MD RURAL HEALTH SERVICES (NPI 1871706374) is a healthcare organization registered as a rural health in Mount Vernon, Illinois and active in the NPI registry since May 2007. The organization lists Cathy D Lisenby, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871706374
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJOHN HALL MD RURAL HEALTH SERVICES
Location Address3505 BROADWAY ST STE AMount Vernon, IL 62864-2202
Mailing Address3505 Broadway St Ste AMount Vernon, IL 62864-2202 · (618) 244-7788 · Fax (618) 244-9330
Fax(618) 244-9330
Organization SubpartNo
Authorized OfficialCathy D LisenbyOffice Manager · (618) 244-7788
Enumeration DateMay 8, 2007
Last NPPES UpdateApril 20, 2008
NPI 1871706374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
3505 BROADWAY ST STE A, Mount Vernon, IL 62864

Other Identifiers 3

Medicaid=========0003IL
Medicare UPINC41502IL
Medicare OSCAR/certification148943IL

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 John Hall MD Rural Health Services's NPI number?

The NPI number for John Hall MD Rural Health Services is 1871706374. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is John Hall MD Rural Health Services located?

John Hall MD Rural Health Services is located at 3505 Broadway St Ste A, Mount Vernon, IL 62864. The listed phone number is (618) 244-7788.

What is John Hall MD Rural Health Services's specialty?

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

When was this NPI record last updated?

The NPPES record for John Hall MD Rural Health Services was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.