MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT (NPI# 1801924949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801924949 |
Entity Type | Organization |
Organization Name | MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT |
Practice Address |
109 E Maple St Gillespie IL 62033-1473 |
Mailing Address |
805 N Broad St Carlinville IL 62626-1075 |
Practice Telephone | 2178391526 |
Practice Fax Number | 2178391538 |
Mailing Telephone | 2178543223 |
Mailing Fax Number | 2178543225 |
Enumeration Date | 2007-03-01 |
Last Update Date | 2011-06-24 |
Authorized Official Name | MR. KENT ALAN TARRO (ADMINISTRATOR) |
Authorized Official Telephone | 2178543223 |
Is Organization Subpart | Y |
Parent Organization Name | MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
=========006 | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 0005932031 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053892513 | Macoupin County Public Health Department | Clinic/Center | 118 W Chestnut St, Gillespie, IL 62033-1503 | 2018-08-23 |
1982732772 | Macoupin County Public Health Department | Public Health or Welfare | 112 S Macoupin St, Gillespie, IL 62033-1515 | 2007-03-01 |
1972630523 | Macoupin County Public Health Department | Non-emergency Medical Transport (VAN) | 805 N Broad St, Carlinville, IL 62626-1075 | 2007-02-28 |
1720687841 | Macoupin County Public Health Department | Clinic/Center | 805 Saint Francis Way, Litchfield, IL 62056-1779 | 2020-10-20 |
1831798958 | Macoupin County Public Health Department | Clinic/Center | 125 W Columbian Blvd S, Litchfield, IL 62056-3021 | 2020-10-20 |
1750814349 | Macoupin County Public Health Department | Public Health or Welfare | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-04-10 |
1861800526 | Macoupin County Public Health Department | Clinic/Center | 1115 Morgan St, Carlinville, IL 62626-1430 | 2014-07-25 |
1538444906 | Macoupin County Public Health Department | Clinic/Center | 109 E Maple St, Gillespie, IL 62033-1473 | 2011-10-18 |
1932237872 | Macoupin County Public Health Department | Public Health or Welfare | 202 W Center St, Girard, IL 62640-1224 | 2007-03-01 |
1447388392 | Macoupin County Public Health Department | Public Health or Welfare | 109 E Maple St, Gillespie, IL 62033-1473 | 2007-03-01 |
Street Address |
109 E MAPLE ST |
City | GILLESPIE |
State | IL |
Zip Code | 62033-1473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710457007 | Celeste Mary Govero Yann | Social Worker | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-11-28 |
1952887416 | Kate Elizabeth Traum | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-07-17 |
1316441868 | Sandra L Cania | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-03-20 |
1578065413 | Melinda S Edwards | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2018-03-07 |
1447789169 | Samantha Thomas | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-06-06 |
1750814349 | Macoupin County Public Health Department | Public Health or Welfare | 109 E Maple St, Gillespie, IL 62033-1473 | 2017-04-10 |
1720522808 | Michelle Lucille Stroheker | Counselor | 109 E Maple St, Gillespie, IL 62033-1473 | 2016-12-08 |
1619345469 | Donna Rasmussen | Physician Assistant | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-09-10 |
1093190324 | Angela Weidner | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-28 |
1336522275 | Christina Elizabeth Ventimiglia-brandt | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225596950 | Laura Michelle Halpin | Physical Therapist | 607 Litchfield Road, Gillespie, IL 62033 | 2019-03-12 |
1770942716 | Carol Candler | Nurse Practitioner | 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 | 2016-02-18 |
1932519618 | Terry Allan | Pharmacist | 113 South Macoupin Street, Gillespie, IL 62033 | 2014-05-02 |
1649414558 | Bernadette Kathlene Sobczak | Nurse Practitioner | 807 Broadway, Gillespie, IL 62033 | 2009-04-22 |
1376765206 | Sheri Lynne Banovic | Nurse Practitioner | 115 South Macoupin Street, Gillespie, IL 62033 | 2007-05-02 |
1215044920 | James Paul Verton | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
1427575612 | Beth Lynn Sies | Speech-Language Pathologist | 340 Kelly St, Gillespie, IL 62033 | 2017-08-28 |
1124135835 | Bruce W Hughes | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1396244612 | Carlinville Area Hospital Assn | Clinic/Center | 807 Broadway, Gillespie, IL 62033-1100 | 2018-02-02 |
Find all providers in zip 62033 |
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 |
---|---|---|---|---|
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 |
1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
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 |
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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.