MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT NPI 1861800526

NPI Information

NPI: 1861800526
Provider Name: MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT

Doing Business As: MACOUPIN COUNTY PUBLIC HEALTH CLINIC SITE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1115 MORGAN ST
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-3692
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MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT is a federally qualified health center (fqhc) clinic center in Carlinville, IL. MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT NPI is 1861800526. The provider is registered as an organization entity type.
The provider Is Doing Business As Macoupin County Public Health Clinic Site.

The provider's business location address is:

1115 MORGAN ST
CARLINVILLE, IL
ZIP 62626-430
Phone: (217) 854-3692

The provider's authorized official is Christy Blank .
The authorized official title is Chief Executive Officer and has the following contact phone number (217) 930-2283.

The enumeration date for this NPI number is 7/25/2014 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	371001351006	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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