COUNTY OF LAWRENCE HEALTH DEPARTMENT (NPI# 1629132410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629132410 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LAWRENCE HEALTH DEPARTMENT |
| Other Organization Name | LAWRENCE COUNTY HEALTH DEPARTMENT RURAL HEALTH CLINIC |
| Practice Address |
11020 State Route 250 Lawrenceville IL 62439-3379 |
| Mailing Address |
Po Box 516 Lawrenceville IL 62439-0516 |
| Practice Telephone | 6189432609 |
| Practice Fax Number | 6189436409 |
| Mailing Telephone | 6189433302 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | MRS. TINA LYDEN (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 6189432609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lawrence County Health Department Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824041 | County of Lawrence Health Department | Public Health or Welfare | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2007-04-30 |
| 1427132232 | County of Lawrence Health Department | Public Health or Welfare | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2006-10-25 |
| 1154376069 | County of Lawrence Health Department | Home Health | 11190 Country Club Road, Lawrenceville, IL 62439 | 2006-05-23 |
| 1528298015 | County of Lawrence Health Department | Public Health or Welfare | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2009-07-20 |
| Street Address |
11020 STATE ROUTE 250 |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515728 | Kimothy Ann Fulk | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-07-07 |
| 1417511619 | Jodi Stone | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2019-04-24 |
| 1396200531 | Andrew F. Caldwell | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2019-02-01 |
| 1679065742 | Marissa Beth Hake | Registered Nurse | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2018-06-04 |
| 1649773946 | Angela Parish | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2018-03-13 |
| 1144739194 | Logan Kermicle | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2017-09-21 |
| 1578018172 | Leslie K Shan | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2016-08-24 |
| 1982055687 | David Patrick Penk | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2016-06-24 |
| 1366824559 | Emily Michele Brown | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2015-06-24 |
| 1205233822 | Jenna Gonzalez | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811183692 | Lawrence County Memorial Hospital | Clinic/Center | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-09-14 |
| 1932308749 | Lawrence County Rule Health Clinic | Clinic/Center | 2111 Lexington Ave, Lawrenceville, IL 62439-2085 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
Please comment or provide details below to improve the information on COUNTY OF LAWRENCE 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.