GOLD PLATE PROGRAM OF PERRY COUNTY (NPI# 1932687944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932687944 |
| Entity Type | Organization |
| Organization Name | GOLD PLATE PROGRAM OF PERRY COUNTY |
| Practice Address |
721 N Hickory St Du Quoin IL 62832 |
| Mailing Address |
Po Box 345 Du Quoin IL 62832-0345 |
| Practice Telephone | 6185423511 |
| Practice Fax Number | 6185422566 |
| Mailing Telephone | 6185423511 |
| Mailing Fax Number | 6185422566 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | MRS. TAMMY JEAN ASBURY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6185423511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
721 N HICKORY ST |
| City | DU QUOIN |
| State | IL |
| Zip Code | 62832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618859 | Jarrett Alexander Edwards | Pharmacist | 215 Grant Way Wal Mart Pharmacy, Du Quoin, IL 62832 | 2018-11-14 |
| 1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
| 1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
| 1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
| 1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
| 1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
| 1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
| 1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
| 1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
| 1912490277 | Marshall Browning Hospital Association | Clinic/Center | 20 N Washington St, Du Quoin, IL 62832 | 2018-06-12 |
| Find all providers in zip 62832 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987735 | Osf Healthcare System | Clinic/Center | 719 N William Kumpf Blvd Ste 300, Peoria, IL 61605-2531 | 2018-09-27 |
| 1083190920 | St. John's Healing Community Board | Clinic/Center | 1015b Century Dr, Edwardsville, IL 62025-3772 | 2018-07-13 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1871003335 | Center for Seniors | Clinic/Center | 8900 Capitol Dr, Wheeling, IL 60090-7203 | 2017-10-10 |
| 1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
| 1306398656 | Naperville Senior Center Adult Day Services | Clinic/Center | 1504 N Naper Blvd Ste 120, Naperville, IL 60563-4819 | 2016-11-02 |
| 1598218604 | 3ys Service, Inc | Clinic/Center | 914 E 54th St, Chicago, IL 60615-5018 | 2016-07-26 |
| 1962896431 | Presence Heritage Day Break | Clinic/Center | 1025 N Washington Ave, Kankakee, IL 60901-2059 | 2015-03-23 |
| 1700281011 | Starlight Adult Day Care Dba Forever Young Adult Day Services, Inc. | Clinic/Center | 6700 N Lincoln Ave, Lincolnwood, IL 60712-3607 | 2014-10-29 |
| 1588073753 | The Golden Years Adult Day Center LLC | Clinic/Center | 7 N 44th St, Belleville, IL 62226-5543 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
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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.