County of Marion

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF MARION

Doing business as

Marion County Health Dept

Practice address

118 Cross Creek Blvd
Salem, IL 62881-1920

Phone

(618) 548-3878

Fax

(618) 548-9872

NPI assigned

Jun 10, 2005

Last updated

Jul 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Ryan, RN,BSN

Title

Administrator

Phone

(618) 548-3878

Specialties & licenses 1

Addresses

Other names 1

• Marion County Health Dept Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Marion

  dba Marion County Health Dept

  • Public Health or Welfare Agency
  • Salem, IL
  • NPI 1043487747

  O20040324000237

  Same enrollment

Tax ID family

Marion County Health Department4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• County of Marion

  dba Marion County Health Dept

  • Public Health or Welfare Agency
  • Salem, IL
  • NPI 1043487747
  NPD tax ID
• Marion County Health Department

  • Public Health or Welfare Agency
  • Salem, IL
  • NPI 1952578668
  NPD tax ID
• Marion County Health Dept

  • Public Health or Welfare Agency
  • Salem, IL
  • NPI 1841461985
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1124022785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CROSS CREEK BLVD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811920",
            "telephone_number": "618-548-3878",
            "fax_number": "618-548-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CROSS CREEK BLVD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811920",
            "telephone_number": "618-548-3878",
            "fax_number": "618-548-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MARION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-548-3878",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Care Systems, Inc.
• Community Resource Center Inc
• Community Resource Center, Inc
• Cottages at Salem, Inc.
• County of Marion (Marion County Health Dept)
• Crossroads Physician Corp (Crossroads Family Medicine of Salem)
• Samuel Dalagan, P.T.
• Alexis Kate De Jager
• Deaconess Illinois Clinic, Inc (Deaconess Illinois Clinic)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Ricker)

• Public Health or Welfare Agency in Salem, IL
• Providers in Salem, IL by specialty
• Public Health or Welfare Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.

Verify at the official NPI Registry.