County of McDonough McDonough County Clerk

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF MCDONOUGH MCDONOUGH COUNTY CLERK

Doing business as

McDonough County Health Dept.

Practice address

505 E Jackson St
Macomb, IL 61455-2310

Phone

(309) 837-9951

Fax

(309) 837-1100

NPI assigned

Feb 28, 2007

Last updated

May 6, 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

Ms. Katherine Sue Cleer

Title

Business Office Manager

Phone

(309) 837-9951

Specialties & licenses 2

Addresses

Other names 1

• McDonough County Health Dept. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of McDonough McDonough County Clerk

  dba The Elms

  • Skilled Nursing Facility
  • Macomb, IL
  • NPI 1598761033

  8820279219

  Same PAC ID

Tax ID family

McDonough County Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of McDonough McDonough County Clerk

  dba The Elms

  • Skilled Nursing Facility
  • Macomb, IL
  • NPI 1598761033
  NPD tax ID
• The Elms

  • Oxygen Equipment & Supplies (DME)
  • Macomb, IL
  • NPI 1487103560
  NPD tax ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• County of McDonough McDonough County Clerk

  dba The Elms

  • Skilled Nursing Facility
  • Macomb, IL
  • NPI 1598761033

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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.

• Richard Earl Minter, D.O.

  • Family Medicine Physician
  • Macomb, IL
  • NPI 1518036979
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1124155841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552310",
            "telephone_number": "309-837-9951",
            "fax_number": "309-837-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552310",
            "telephone_number": "309-837-9951",
            "fax_number": "309-837-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MCDONOUGH MCDONOUGH COUNTY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "CLEER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "309-837-9951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "336062856",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonough County Health Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Shaw Conner, APN
• Caleb Ray Corrigan, PHARMD
• Counseling Cares P.C.
• Counseling Perspectives, LLC
• Countryside Care Center LLC
• County of McDonough McDonough County Clerk (The Elms)
• Valerie Crabtree, RPH
• Brittany Ann Cromer, APN
• Gary R Crosby, O.D.
• Crossett Pharmacy, Inc (Ford Hopkins Drug)

• Public Health or Welfare Agency in Macomb, IL
• Providers in Macomb, 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 May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.