Organization Active NPI

County of Sangamon

  • Public Health or Welfare Agency
  • Springfield, IL
National Provider Identifier
1164448262
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
261QP0905X Issued in IL
Legal business name
COUNTY OF SANGAMON
Practice address
2833 S Grand Ave E
Springfield, IL 62703-2175
Phone
(217) 535-3100
Fax
(217) 535-3104
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Mr. James D Stone, M.A.
Title
Director of Public Health
Phone
(217) 535-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 261QP0905X IL Primary

Addresses

Primary practice location

2833 S Grand Ave E
Springfield, IL 62703-2175

Mailing address

2833 S Grand Ave E
Springfield, IL 62703-2175
Phone (217) 535-3100

Other identifiers 1

IdentifierTypeStateIssuer
6270101MedicaidIL

Other names 1

  • Sangamon County Department of Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090407000214 IL Part B Supplier - Mass Immunization (Roster Biller Only) 9335296433 Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations (25 of 84)

5200 Dickey John Rd
Auburn, IL 62615
Phone (217) 438-2357

7300 W State Route 104
Auburn, IL 62615
Phone (217) 438-6167

118 N 5th St
Auburn, IL 62615
Phone (217) 438-3621

11629 Maurer Rd
Buffalo, IL 62515
Phone (217) 364-9000

600 S Main St
Buffalo, IL 62515
Phone (217) 364-4826

1501 E Plummer Blvd
Chatham, IL 62629
Phone (217) 422-6704

407 5th St
Illiopolis, IL 62539
Phone (217) 486-3441

2455 N Farmingdale Rd
Pleasant Plains, IL 62677
Phone (217) 626-1061

209 N 7th St
Riverton, IL 62561
Phone (217) 629-6001

633 S Walnut St
Rochester, IL 62563
Phone (217) 498-9524

1 Rocket Dr
Rochester, IL 62563
Phone (217) 498-9761

201 South Grand Ave E
Springfield, IL 62704

413 S 8th St
Springfield, IL 62701
Phone (217) 492-4241

3120 Robbins Rd
Springfield, IL 62704
Phone (217) 726-0628

3400 Solar Ave
Springfield, IL 62707
Phone (217) 522-6321

2929 Stanton St
Springfield, IL 62703
Phone (217) 793-2100

229 E Jefferson St
Springfield, IL 62701
Phone (217) 528-2277

801 E Sangamon Ave
Springfield, IL 62702

1200 N Airport Dr
Springfield, IL 62707
Phone (217) 535-3510

200 E Capitol Ave
Springfield, IL 62701

3021 Taylor Ave
Springfield, IL 62703
Phone (217) 481-0981

701 W Mason St
Springfield, IL 62702
Phone (217) 528-4035

2501 S 1st St
Springfield, IL 62704
Phone (217) 525-3163

200 N 11th St
Springfield, IL 62703
Phone (247) 753-5777

3000 Kelly Ln
Springfield, IL 62711
Phone (217) 787-5864

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1164448262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 S GRAND AVE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032175",
            "telephone_number": "217-535-3100",
            "fax_number": "217-535-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 S GRAND AVE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032175",
            "telephone_number": "217-535-3100",
            "fax_number": "217-535-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANGAMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "217-535-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "261QP0905X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6270101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sangamon County Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.