MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT


Address: 109 E Maple St, Gillespie, IL 62033-1473
Phone: 2178391526

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 0005932031 01

Other Provider IDs and Locations

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

Office Location

Street Address 109 E MAPLE ST
City GILLESPIE
State IL
Zip Code 62033-1473

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City GILLESPIE
Zip Code 62033

Improve Information

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Dataset Information

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.

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