MASON COUNTY HEALTH DEPARTMENT


Address: 1002 East Laurel Avenue, Havana, IL 62644
Phone: 3095432201

MASON COUNTY HEALTH DEPARTMENT (NPI# 1982771218) 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) 1982771218
Entity Type Organization
Organization Name MASON COUNTY HEALTH DEPARTMENT
Practice Address 1002 East Laurel Avenue
Havana
IL 62644
Practice Telephone 3095432201
Practice Fax Number 3095432063
Mailing Telephone 3095432201
Mailing Fax Number 3095432063
Enumeration Date 2006-11-30
Last Update Date 2020-08-22
Authorized Official Name CURT J JIBBEN (ADMINISTRATOR)
Authorized Official Telephone 3095432201
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437397486 Mason County Health Department Public Health or Welfare 216 5th St, Point Pleasant, WV 25550-1104 2009-01-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MASON COUNTY HEALTH DEPARTMENT 216 5th St, Point Pleasant, WV 25550-1104

Office Location

Street Address 1002 EAST LAUREL AVENUE
City HAVANA
State IL
Zip Code 62644

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346206315 Havana Hco, LLC Skilled Nursing Facility 609 N Harpham St, Havana, IL 62644 2006-04-26
1902849649 Mason Hospital District General Acute Care Hospital 615 N Promenade St, Havana, IL 62644-1015 2006-06-13
1356307433 Bruce Schultz Family Medicine 615 N Promenade St, Havana, IL 62644-1015 2006-04-26
1245296979 Tad A Yetter Internal Medicine 615 N Promenade St, Havana, IL 62644-1015 2006-04-21
1427561489 Brandi Nicole Behymer Nurse's Aide 320 N Plum St, Havana, IL 62644-1127 2017-11-13
1225032071 R & Q Corporation Pharmacy 201 W Main St, Havana, IL 62644-1137 2005-06-09
1639655616 Home Dialysis Therapies, Inc Clinic/Center 216 W Main St, Havana, IL 62644-1138 2018-07-12
1750382990 Anthony Dale Roberts Chiropractor 303 W Main St, Havana, IL 62644-1139 2005-08-10
1962816868 John Stinauer Dentist 312 W Main St, Havana, IL 62644-1140 2014-06-18
1831469998 Bleem Family Chiropractic Inc Chiropractor 314 W Main St, Havana, IL 62644-1140 2012-01-06
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568069805 Elite Spine & Wellness Center, Inc Clinic/Center 5898 Pathfinder Rd, Rockford, IL 61109-4008 2020-10-08
1407453236 Dirsi, Inc Clinic/Center 2112 N Dayton St, Chicago, IL 60614-4302 2020-10-05
1588261770 Mount Sinai Community Foundation Dba Sinai Medical Group Clinic/Center 2701 W 68th St Fl 3, Chicago, IL 60629-1813 2020-10-01
1013514298 Mount Sinai Community Foundation Dba Sinai Medical Group Clinic/Center 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 2020-10-01
1841804879 Chicago Poly Clinic LLC Clinic/Center 2446 W Devon Ave, Chicago, IL 60659-1913 2020-09-08
1386258226 Ortho Spine Surgical LLC Clinic/Center 1925 E 95th St Ste 220, Chicago, IL 60617-4710 2020-09-08
1821607425 Desired Medical Services Incorporated Clinic/Center 371 Mackinaw Ave, Calumet City, IL 60409-2524 2020-07-29
1639787823 Md Infusions, Pllc Clinic/Center 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 2020-07-14
1407474083 Staten Family Practice Pllc Clinic/Center 500 W Virginia Ave, Gillespie, IL 62033-1025 2020-07-09
1629696679 Serenity Internal Medicine & Wellness Center Clinic/Center 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 2020-07-07
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Competitor

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City HAVANA
Zip Code 62644

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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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