County of Boone

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF BOONE

Doing business as

Boone County Health Department

Practice address

1204 Logan Avenue
Belvidere, IL 61008-4031

Phone

(815) 547-8571

Fax

(815) 544-2050

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Frank, B.S.

Title

Administrator

Phone

(815) 547-8577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boone County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1235223058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 LOGAN AVENUE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084031",
            "telephone_number": "815-547-8571",
            "fax_number": "815-544-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 LOGAN AVENUE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084031",
            "telephone_number": "815-547-8571",
            "fax_number": "815-544-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BOONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-547-8577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0711587",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health or Welfare Agency in Belvidere, IL
• Providers in Belvidere, 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 Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.