Active NPI
Fayette County
- Public Health or Welfare Agency
- Vandalia, IL
National Provider Identifier
1033386271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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.
-
- Home Health Agency
- Vandalia, IL
- NPI 1174523914
-
- Community Based Hospice Care Agency
- Vandalia, IL
- NPI 1851556237
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Springfield, IL
- NPI 1205824059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.