FULTON COUNTY HEALTH DEPARTMENT (NPI# 1245216241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245216241 |
| Entity Type | Organization |
| Organization Name | FULTON COUNTY HEALTH DEPARTMENT |
| Other Organization Name | FULTON COUNTY HEALTH DEPARTMENT |
| Practice Address |
700 East Oak Street Canton IL 61520 |
| Practice Telephone | 3096471134 |
| Practice Fax Number | 3096479545 |
| Mailing Telephone | 3096471134 |
| Mailing Fax Number | 3096479545 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | MR. DAMON SCOTT ROBERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3096471134 |
| Is Organization Subpart | Y |
| Parent Organization Name | FULTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fulton County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273896 | Fulton County Health Department | Public Health or Welfare | 99 Jesse Hill Jr Dr Se, Suite 402, Atlanta, GA 30303-3030 | 2016-09-12 |
| 1134422140 | Fulton County Health Department | Community/Behavioral Health | 7741 Roswell Rd, Sandy Springs, GA 30350-4845 | 2010-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FULTON COUNTY HEALTH DEPARTMENT | 606 S Shoop Ave, Wauseon, OH 43567-1712 |
| Street Address |
700 EAST OAK STREET |
| City | CANTON |
| State | IL |
| Zip Code | 61520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396964920 | City of Canton | Clinic/Center | 420 Market Ave N, Canton, OH 44702-1544 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686780 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2007-03-14 |
| 1528130150 | County of Washington | Clinic/Center | 177 S Washington St, Nashville, IL 62263-1430 | 2006-11-15 |
| 1851394829 | County of Henry | Clinic/Center | 110 N Burr Blvd, Kewanee, IL 61443-2214 | 2005-05-24 |
| 1609311695 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433-2799 | 2016-12-29 |
| 1841613783 | Will County Health Dept | Clinic/Center | 323 Quadrangle Dr, Bolingbrook, IL 60440 | 2014-01-29 |
| 1184051138 | Walgreen Co./ill. | Clinic/Center | 230 W Chrysler Dr, Belvidere, IL 61008-6304 | 2013-10-07 |
| 1871855213 | County of Mchenry Illinois | Clinic/Center | 2200 N Seminary Ave, Woodstock, IL 60098-2637 | 2012-06-12 |
| 1649429812 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
| 1598921025 | County of Woodford | Clinic/Center | 1831 S Main St, Eureka, IL 61530-1707 | 2008-08-04 |
| 1790957884 | City of Evanston | Clinic/Center | 2100 Ridge Ave, Children's Dental Clinic, Evanston, IL 60201-2716 | 2008-03-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FULTON COUNTY HEALTH DEPARTMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.