COUNTY OF PEORIA NPI 1497889661

NPI Information

NPI: 1497889661
Provider Name: COUNTY OF PEORIA

Doing Business As: PEORIA CITY/COUNTY HEALTH DEPARTMENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 14D0431940

Address:
2116 N SHERIDAN RD
PEORIA, IL
ZIP 61604
Phone: (309) 679-6118
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COUNTY OF PEORIA is a public health or welfare in Peoria, IL. COUNTY OF PEORIA NPI is 1497889661. The provider is registered as an organization entity type.
The provider Is Doing Business As Peoria City/county Health Department.

The provider's business location address is:

2116 N SHERIDAN RD
PEORIA, IL
ZIP 61604-457
Phone: (309) 679-6118
Fax: (309) 679-6610

The provider's authorized official is Brian Dane Gulley .
The authorized official title is Director Of Financial Services and has the following contact phone number (309) 679-6118.

The CLIA number assigned to this NPI record is 14D0431940 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/11/2022.

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	251K00000X	Public Health or Welfare				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: 4/28/2024

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