COUNTY OF WAYNE NPI 1447353727

NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Coronavirus vaccine 14 (HCPCS:91313)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Administration of pneumococcal vaccine (HCPCS:G0009)

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: