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COUNTY OF WAYNE NPI 1447353727


NPI Information

NPI: 1447353727
Provider Name: COUNTY OF WAYNE

Doing Business As: WAYNE COUNTY HEALTH DEPARTMENT

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 14D0667715

Address:
405 NORTH BASIN ROAD
FAIRFIELD, IL
ZIP 62837
Phone: (618) 842-5166
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COUNTY OF WAYNE is a health service clinic center in Fairfield, IL. COUNTY OF WAYNE NPI is 1447353727. The provider is registered as an organization entity type.
The provider Is Doing Business As Wayne County Health Department.

The provider's business location address is:

405 NORTH BASIN ROAD
FAIRFIELD, IL
ZIP 62837
Phone: (618) 842-5166
Fax: (618) 842-3305

The provider's authorized official is Nicole Schoenborn .
The authorized official title is Administrator and has the following contact phone number (618) 842-5166.

The CLIA number assigned to this NPI record is 14D0667715 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 9/24/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.