Active NPI
County of Vermilion
- Public Health or Welfare Agency
- Danville, IL
National Provider Identifier
1063558328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF VERMILION
- Practice address
- 200 S College St
Suite a
Danville, IL 61832-6744 - Phone
- (217) 431-2662
- Fax
- (217) 431-7483
- NPI assigned
- Jan 30, 2007
- Last updated
- May 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna J Dunham
- Title
- Financial Director
- Phone
- (217) 431-2662
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary | |
| Clinic/Center | 261Q00000X | 036-063740 | IL |
Addresses
Primary practice location
200 S College St
Suite a
Danville, IL 61832-6744
Mailing address
200 S College St
Suite a
Danville, IL 61832-6744
Phone (217) 431-2662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120607000660 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9032385307 | Practice locations: Danville, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0646847 | Vermilion County Health Department | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
200 S College St
Ste A
Danville, IL 61832
Phone (217) 431-2662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462233600000",
"number": "1063558328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S COLLEGE ST",
"address_2": "SUITE A",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618326744",
"telephone_number": "217-431-2662",
"fax_number": "217-431-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S COLLEGE ST",
"address_2": "SUITE A",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618326744",
"telephone_number": "217-431-2662",
"fax_number": "217-431-7483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VERMILION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2016-05-03",
"status": "A",
"authorized_official_last_name": "DUNHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "FINANCIAL DIRECTOR",
"authorized_official_telephone_number": "217-431-2662"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "036-063740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.