MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT (NPI# 1861800526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861800526 |
| Entity Type | Organization |
| Organization Name | MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT |
| Other Organization Name | MACOUPIN COUNTY PUBLIC HEALTH CLINIC SITE |
| Practice Address |
1115 Morgan St Carlinville IL 62626-1430 |
| Mailing Address |
805 N Broad St Carlinville IL 62626-1075 |
| Practice Telephone | 2178543692 |
| Mailing Telephone | 2178543223 |
| Mailing Fax Number | 2178543225 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | MR. KENT ALAN TARRO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2178543223 |
| Authorized Official Credential | M.S., R.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
371001351006 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Macoupin County Public Health Clinic Site | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 N Broad St, Carlinville, IL 626261075 | 2178543223 | 2178543225 |
| 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 |
| 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 |
| 1801924949 | Macoupin County Public Health Department | Clinic/Center | 109 E Maple St, Gillespie, IL 62033-1473 | 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 |
1115 MORGAN ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861598534 | Gregg L Laws | Internal Medicine | 1115 Morgan St, Carlinville, IL 62626-1430 | 2006-09-16 |
| 1124428453 | Ann Louise Zahniser | Nurse Practitioner | 1115 Morgan St, #2, Carlinville, IL 62626-1430 | 2014-08-22 |
| 1871925347 | Carlinville Family Health Care | Clinic/Center | 1115 Morgan St, Suite #2, Carlinville, IL 62626-1430 | 2013-08-06 |
| 1477735397 | Kate Marie Wilkens | Family Medicine | 1115 Morgan St, Suite 2, Carlinville, IL 62626-1430 | 2007-12-03 |
| 1801096730 | Gregg L Laws Md | Internal Medicine | 1115 Morgan St, Carlinville, IL 62626-1438 | 2007-07-19 |
| 1578618203 | Macoupin County Public Health Department | Public Health or Welfare | 1115 Morgan St, Carlinville, IL 62626-1438 | 2007-01-24 |
| 1336297860 | Rachel B Pranger | Physician Assistant | 1115 Morgan St, Suite 2, Carlinville, IL 62626-1430 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
Please comment or provide details below to improve the information on MACOUPIN COUNTY PUBLIC 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.