Active NPI
County of Sangamon
- Public Health or Welfare Agency
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 261QP0905X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6270101 | Medicaid | IL |
Other names 1
- Sangamon County Department of Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090407000214 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335296433 | Practice locations: Springfield, IL |
National Provider Directory
National Provider DirectoryLocations (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.
-
- Dentist
- Springfield, IL
- NPI 1255650974
-
- Marriage & Family Therapist
- Springfield, IL
- NPI 1316048499
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, IL
- NPI 1346352218
-
- Oral and Maxillofacial Surgery (Dentist)
- Champaign, IL
- NPI 1255652665
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, IL
- NPI 1932202249
-
- Oral and Maxillofacial Surgery (Dentist)
- Oak Lawn, IL
- NPI 1891011755
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, IL
- NPI 1386863629
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, IL
- NPI 1811091499
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.