CLINTON COUNTY NPI 1700814704

NPI Information

  • NPI: 1700814704
  • Provider Name: CLINTON COUNTY
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • :
  • CLIA Number: 14D0929337
  • Address: 991 FRANKLIN ST
    CARLYLE, IL
    ZIP 62231
  • Phone: (618) 594-2723

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NPI Details

CLINTON COUNTY is a community health registered nurse in Carlyle, IL. CLINTON COUNTY NPI is 1700814704. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

991 FRANKLIN ST
CARLYLE, IL
ZIP 62231-818
Phone: (618) 594-2723
Fax: (618) 594-5474

The provider's authorized official is Chris J Leidel .
The authorized official title is Administrator and has the following contact phone number (618) 594-2723.

The CLIA number assigned to this NPI record is 14D0929337 - federally qualified health center 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.

  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/2/2025.

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
1163WC1500XRegistered NurseCommunity HealthILLINOISYes

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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