COUNTY OF FULTON NPI 1497889554

NPI Information

  • NPI: 1497889554
  • Provider Name: COUNTY OF FULTON
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: THE CLAYBERG FULTON COUNTY NURSING CENTER
  • Address: 625 EAST MONROE STREET
    CUBA, IL
    ZIP 61427
  • Phone: (309) 785-5012

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NPI Details

COUNTY OF FULTON is a nursing facility intermediate care facility in Cuba, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. COUNTY OF FULTON NPI is 1497889554. The provider is registered as an organization entity type.
The provider Is Doing Business As The Clayberg Fulton County Nursing Center.

The provider's business location address is:

625 EAST MONROE STREET
CUBA, IL
ZIP 61427-200
Phone: (309) 785-5012
Fax: (309) 785-5376

The provider's authorized official is Martha J Danielson .
The authorized official title is Administrator and has the following contact phone number (309) 785-5012.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 11/2/2012.

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
1314000000XSkilled Nursing Facility0014290ILLINOISNo
2313M00000XNursing Facility/Intermediate Care Facility0014290ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1370914241001MEDICAIDILLINOIS

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: 11/21/2025

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