ILLINOIS DEPARTMENT OF PUBLIC HEALTH (NPI# 1891023164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891023164 |
| Entity Type | Organization |
| Organization Name | ILLINOIS DEPARTMENT OF PUBLIC HEALTH |
| Other Organization Name | HIV/AIDS SECTION |
| Practice Address |
525 West Jefferson 1st Floor Springfield IL 62761 |
| Practice Telephone | 2175245983 |
| Practice Fax Number | 2175246090 |
| Mailing Telephone | 2175245983 |
| Mailing Fax Number | 2175246090 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | MR. MATT CHARLES (HIV/AIDS ASSISTANT SECTION CHIEF) |
| Authorized Official Telephone | 2177821207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | IL | Laboratories |
| Other Name | Type Code |
|---|---|
| HIV/AIDS Section | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992925580 | Illinois Department of Public Health | Clinical Medical Laboratory | 825 N Rutledge St, Springfield, IL 62702-4910 | 2007-04-26 |
| Street Address |
525 WEST JEFFERSON 1ST FLOOR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
| 1851992622 | Destinee Lathon | Nurse's Aide | 1731 Fairmont Dr, Springfield, IL 62702-2927 | 2020-11-06 |
| 1396346508 | Bec Personal Care, LLC | In Home Supportive Care | 3513 Sundance Dr, Springfield, IL 62711-6719 | 2020-11-04 |
| 1932700366 | Shawn Carpenter Jr. | Homemaker | 1567 Regent Ave, Springfield, OH 45503-5967 | 2020-11-03 |
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1073113023 | Crystal Lynn Sandridge | Technician | 9710 Cumberland Rd, Springfield, WV 26763 | 2020-10-29 |
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| Find all providers in SPRINGFIELD | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
| 1235613712 | Identi-check, Inc | Clinical Medical Laboratory | 3 N Old State Capitol Plz, Springfield, IL 62701-1313 | 2018-09-20 |
| 1659738631 | Dynamic Dna Laboratories, LLC | Clinical Medical Laboratory | 2144 E Republic Rd, Suite B204, Springfield, MO 65804-4623 | 2016-01-21 |
| 1790170447 | Labworks LLC | Clinical Medical Laboratory | 6412 Brandon Ave Ste 342, Springfield, VA 22150-2513 | 2015-03-31 |
| 1235413428 | Labone LLC | Clinical Medical Laboratory | 1242 E Independence St Ste 200, Springfield, MO 65804-4284 | 2011-10-06 |
| 1689966038 | Springfield Clinic Soga Lab | Clinical Medical Laboratory | 900 N 1st St Fl 1, Springfield, IL 62702-3749 | 2011-05-04 |
| 1124286976 | Springfield Clinic Hematology Oncology Lab | Clinical Medical Laboratory | 900 N 1st St Fl 4, Springfield, IL 62702-3749 | 2008-05-29 |
| 1992925580 | Illinois Department of Public Health | Clinical Medical Laboratory | 825 N Rutledge St, Springfield, IL 62702-4910 | 2007-04-26 |
| 1205975174 | Tri-lakes Pathology Services,l.l.c. | Clinical Medical Laboratory | 1000 E Primrose St Ste 300, Springfield, MO 65807-5178 | 2007-02-06 |
| 1497820435 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 6501 Loisdale Road, Springfield, VA 22150-1845 | 2006-11-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62761 |
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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.