Active NPI
County of Logan
Doing business as Logan County Health Department
- Public Health or Welfare Agency
- Lincoln, IL
National Provider Identifier
1073762290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF LOGAN
- Doing business as
- Logan County Health Department
- Practice address
- 109 3Rd St
Lincoln, IL 62656-2604 - Phone
- (217) 735-2317
- Fax
- (217) 732-6943
- NPI assigned
- Sep 11, 2008
- Last updated
- Oct 19, 2015
- 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
- Mrs. Kara Ann Davis, RN, BSN
- Title
- Director of Nursing/Assistant Admin
- Phone
- (217) 735-2317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
109 3Rd St
Lincoln, IL 62656-2604
Mailing address
109 3Rd St
P.O. Box 508
Lincoln, IL 62656-2604
Phone (217) 735-2317
Other names 1
- LOGAN COUNTY HEALTH DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061107000298 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789681644 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lincoln, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1073762290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 3RD ST",
"address_2": "P.O. BOX 508",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626562604",
"telephone_number": "217-735-2317",
"fax_number": "217-732-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 3RD ST",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626562604",
"telephone_number": "217-735-2317",
"fax_number": "217-732-6943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LOGAN",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "KARA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR OF NURSING/ASSISTANT ADMIN",
"authorized_official_telephone_number": "217-735-2317",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LOGAN COUNTY HEALTH DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.