MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT (NPI# 1538444906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538444906 |
| Entity Type | Organization |
| Organization Name | MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT |
| Practice Address |
109 E Maple St Gillespie IL 62033-1473 |
| Practice Telephone | 2178391526 |
| Practice Fax Number | 2178391538 |
| Mailing Telephone | 2178391526 |
| Mailing Fax Number | 2178391538 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. KENT ALAN TARRO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2178394104 |
| 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) |
=========007 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NGS MEDICARE | 141154 | 01 |
| 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 |
| 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 |
109 E MAPLE ST |
| City | GILLESPIE |
| State | IL |
| Zip Code | 62033-1473 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053892513 | Macoupin County Public Health Department | Clinic/Center | 118 W Chestnut St, Gillespie, IL 62033-1503 | 2018-08-23 |
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|---|---|---|---|---|
| 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 |
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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.