County of Lawrence Health Department

Key facts

NPI

1154376069

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

License

1001833 (IL)

Legal business name

COUNTY OF LAWRENCE HEALTH DEPARTMENT

Practice address

2101 James St
Lawrenceville, IL 62439-2027

Phone

(618) 943-3302

Fax

(618) 943-7396

NPI assigned

May 23, 2006

Organization subpart

No

Authorized official

Name

Tina Lyden

Title

Director of Patient Accounts

Phone

(618) 943-3302

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Lawrence Health Department Public Health or Welfare Agency · Lawrenceville, IL · NPI 1982824041
  NPD member Member Of

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Home Health Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1154376069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624390516",
            "telephone_number": "618-943-4663",
            "fax_number": "618-943-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "618-943-3302",
            "fax_number": "618-943-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LAWRENCE HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "LYDEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "618-943-3302"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1001833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9753",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "687236",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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