Organization Active NPI

Cumberland County

  • Public Health or Welfare Agency
  • Toledo, IL
National Provider Identifier
1063446938
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CUMBERLAND COUNTY
Practice address
200 S. Indiana St.
Toledo, IL 62468-0130
Phone
(217) 849-3211
Fax
(217) 849-3121
NPI assigned
Jul 10, 2006
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Cynthia Diane Hanley
Title
HR Manager
Phone
(217) 849-3211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IL Primary
Family Nurse Practitioner 363LF0000X 209005982 IL

Addresses

Primary practice location

200 S. Indiana St.
Toledo, IL 62468-0130

Mailing address

P.O. Box 130
Toledo, IL 62468-0130
Phone (217) 849-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070112000365 IL Part B Supplier - Clinic/Group Practice 3375556749 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, IL
O20081217000411 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3375556749 Practice locations: Toledo, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0714033Cumberland County Health Department200 S Indiana St, Toledo, IL 62468Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

132 Courthouse Sq
Toledo, IL 62468
Phone (217) 849-3211

200 S Indiana St
Toledo, IL 62468
Phone (217) 849-3211

Practitioners & affiliated clinicians

Practitioners 2

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1063446938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 130",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "624680130",
            "telephone_number": "217-849-3211",
            "fax_number": "217-849-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. INDIANA ST.",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "624680130",
            "telephone_number": "217-849-3211",
            "fax_number": "217-849-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "217-849-3211"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.