NPIMap

Organization Active NPI

Board Members-Crawford County Government

Doing business as Crawford County Health Department

  • Public Health or Welfare Agency
  • Robinson, IL
National Provider Identifier
1013262914
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BOARD MEMBERS-CRAWFORD COUNTY GOVERNMENT
Doing business as
Crawford County Health Department
Practice address
202 N Bline Blvd
Robinson, IL 62454-1264
Phone
(618) 544-8798
NPI assigned
Jul 17, 2012
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Darla Kay Tracy, CPHANPI 1386908549
Title
Administrator
Phone
(618) 544-8798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IL Primary

Addresses

Primary practice location

202 N Bline Blvd
Robinson, IL 62454-1264

Mailing address

202 N Bline Blvd
Robinson, IL 62454-1264
Phone (618) 544-8798

Other names 1

  • Crawford County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031222000468 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7618875113 Practice locations: Robinson, IL

National Provider Directory

National Provider Directory
Tax ID family
Med Star Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 N Christopher Blvd
Robinson, IL 62454
Phone (618) 544-8798

301 S Cross St
Ste 249
Robinson, IL 62454
Phone (618) 544-8798

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1013262914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N BLINE BLVD",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541264",
            "telephone_number": "618-544-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N BLINE BLVD",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541264",
            "telephone_number": "618-544-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD MEMBERS-CRAWFORD COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-544-8798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.