Board Members-Crawford County Government
Organization Active NPI Public Health or Welfare Agency · Robinson, IL
NPI 1013262914 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1013262914
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- BOARD MEMBERS-CRAWFORD COUNTY GOVERNMENT
- Practice address
- 202 N Bline Blvd
Robinson, IL 62454-1264 - Phone
- (618) 544-8798
- NPI assigned
- Jul 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Darla Kay Tracy, CPHA
- Title
- Administrator
- Phone
- (618) 544-8798
Corporate family (same tax ID) 1
Practitioners 3
-
Terry Shaffer, R.N.
-
Rhonda Lynn Simpson, R.N.
-
Darla K. Tracy, CPHA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000468 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618875113 | Practice locations: Robinson, IL |
National Provider Directory
- Tax ID family
- Board Members-Crawford County Government
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
202 N Bline Blvd
Robinson, IL 62454
Phone (618) 544-8798
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | IL | Yes |
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
- Crawford County Health Department
Other providers in Robinson, IL
- Mindy Beisner
- Samantha Bennett
- Rikki Benson
- Carol J Bergbower
- Mary Katherine Blankenbaker
- Angela Marie Bogard
- Letizia Boin
- Nicholas Christopher Brissey
- Deanna Marie Brookhart
- Brookstone Estates of Robinson
All providers in Robinson, IL · Public Health or Welfare Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.