ROSSVILLE MEDICAL CLINIC – Rural Health Clinic/Center, NPI 1629295324

ROSSVILLE MEDICAL CLINIC is a healthcare provider. based in Hoopeston, Illinois. specializing in Rural Health Clinic/Center. The organization holds a License No. 000420 (IL). The NPI Number for ROSSVILLE MEDICAL CLINIC is 1629295324

Main info

Organization
Name
ROSSVILLE MEDICAL CLINIC
NPI
1629295324
Phone
(217) 383-6792
Address
701 E ORANGE ST
Authorized Official
HARRY F. BROCKUS CEO
Enumeration Date
20 April 2007
Last Update Date
12 May 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for ROSSVILLE MEDICAL CLINIC

  • 701 E ORANGE ST

    HOOPESTON, IL 609421801

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Type: Mailing

  • 619 N. CHICAGO STREET

    ROSSVILLE, IL 609630248

    Phone: (217) 748-4141

    Fax: (217) 748-6973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (592 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081014000099ORural Health ClinicIL2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60942)

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Reviews

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Frequently asked questions

What NPI should I save for ROSSVILLE MEDICAL CLINIC?
Save NPI 1629295324 if you need a stable reference for ROSSVILLE MEDICAL CLINIC.
Does this profile mean ROSSVILLE MEDICAL CLINIC is currently active?
Yes — ROSSVILLE MEDICAL CLINIC appears active in the national provider directory.
What field does ROSSVILLE MEDICAL CLINIC work in?
You can think of ROSSVILLE MEDICAL CLINIC as practicing within Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for ROSSVILLE MEDICAL CLINIC?
The page summarizes Hoopeston, Illinois for ROSSVILLE MEDICAL CLINIC; expand the address list for detail.
How can I contact ROSSVILLE MEDICAL CLINIC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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