County of Marion
Organization Active NPI Public Health or Welfare Agency · Salem, IL
NPI 1043487747 · NPPES record last updated Aug 1, 2013
Key facts
- NPI
- 1043487747
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- COUNTY OF MARION
- Practice address
- 118 Cross Creek Blvd
Salem, IL 62881-1920 - Phone
- (618) 548-3878
- Fax
- (618) 548-3866
- NPI assigned
- May 12, 2008
- Organization subpart
- No
Authorized official
- Name
- Lori Ryan
- Title
- Administrator
- Phone
- (618) 548-3878
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000237 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 2769373158 |
1 other NPI on this enrollment Practice locations: Centralia, IL; Salem, IL |
National Provider Directory
- Tax ID family
- Marion County Health Department
Locations
118 Cross Creek Blvd
Salem, IL 62881
Phone (618) 548-3878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
118 Cross Creek Blvd
Salem, IL 62881-1920
Mailing address
118 Cross Creek Blvd
Salem, IL 62881-1920
Phone (618) 548-3878
Other names
- Marion County Health Dept
Other providers in Salem, IL
- Danielle Nichole Cole
- Community Care Systems, Inc.
- Community Resource Center Inc
- Community Resource Center, Inc
- Cottages at Salem, Inc.
- County of Marion
- Crossroads Physician Corp
- Samuel Dalagan
- Alexis Kate De Jager
- Deaconess Illinois Clinic, Inc
All providers in Salem, 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 Aug 1, 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.