Organization Active NPI

Fayette County

  • Public Health or Welfare Agency
  • Vandalia, IL
National Provider Identifier
1033386271
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FAYETTE COUNTY
Practice address
509 W Edwards St
Vandalia, IL 62471-2707
Phone
(618) 283-1044
NPI assigned
May 15, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Rhonda Andrews
Title
Administrator
Phone
(618) 283-1044

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000367 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1658417365 Practice locations: Vandalia, IL

National Provider Directory

National Provider Directory
Tax ID family
Fayette County Health D (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

509 W Edwards St
Vandalia, IL 62471-2707

Mailing address

509 W Edwards St
Vandalia, IL 62471-2707
Phone (618) 283-1044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2009.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1033386271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W EDWARDS ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624712707",
            "telephone_number": "618-283-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W EDWARDS ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624712707",
            "telephone_number": "618-283-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-283-1044"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.