NPIMap

Organization Active NPI

County of Knox

Doing business as Knox County Health Department

  • Public Health or Welfare Agency
  • Galesburg, IL
National Provider Identifier
1205944394
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF KNOX
Doing business as
Knox County Health Department
Practice address
1361 W Fremont St
Galesburg, IL 61401-2436
Phone
(309) 344-2224
Fax
(309) 344-5049
NPI assigned
Aug 28, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF KNOXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Michele Gabriel, MPH
Title
Public Health Administrator
Phone
(309) 344-2224

Specialties & licenses 1

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

Addresses

Primary practice location

1361 W Fremont St
Galesburg, IL 61401-2436

Mailing address

1361 W Fremont St
Galesburg, IL 61401-2436
Phone (309) 344-2224

Other names 1

  • Knox County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000116 IL Part B Supplier - Mass Immunization (Roster Biller Only) 4981725959 Practice locations: Galesburg, IL

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0889599Knox County Health Department1361 W Fremont, Galesburg, IL 61401Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Know County HLTH Dept3 organizations share this tax ID, including this one
Part of
Know County HLTH Dept

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Knox County Nursing HomeKnoxville, IL, CCN 145697 Skilled nursing facility Adp of the SNF Jul 6, 2012
Knox Community Health Center NFPGalesburg, IL, CCN 141171 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Other		 Jun 8, 2012
Jun 8, 2012

Owned or controlled facilities with NPI records 2

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1205944394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 W FREMONT ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012436",
            "telephone_number": "309-344-2224",
            "fax_number": "309-344-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 W FREMONT ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012436",
            "telephone_number": "309-344-2224",
            "fax_number": "309-344-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KNOX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF KNOX",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "309-344-2224",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knox County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.