Organization Active NPI

County of Edwards

Doing business as Edwards County Health Office

  • Public Health or Welfare Agency
  • Albion, IL
National Provider Identifier
1235224130
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF EDWARDS
Doing business as
Edwards County Health Office
Practice address
329 North 5TH Street
Albion, IL 62806
Phone
(618) 445-2615
Fax
(618) 445-3851
NPI assigned
Oct 4, 2006
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Mrs. Amanda McCoyNPI 1457638678
Title
Edwards County Nurse Administrator
Phone
(618) 445-2615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Health Service Clinic/Center 261QH0100X
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

329 North 5TH Street
Albion, IL 62806

Mailing address

329 N 5TH St
Albion, IL 62806-1054
Phone (618) 445-2615

Other identifiers 1

IdentifierTypeStateIssuer
=========MedicaidIL

Other names 1

  • Edwards County Health Office Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000671 IL Part B Supplier - Mass Immunization (Roster Biller Only) 4082666714 Practice locations: Albion, 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
14D0869014Edwards County Health Office329 N 5TH St, Albion, IL 62806Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

25 N 5th St
Albion, IL 62806
Phone (618) 445-2615

Practitioners & affiliated clinicians

Practitioners 1

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1235224130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N 5TH ST",
            "city": "ALBION",
            "state": "IL",
            "postal_code": "628061054",
            "telephone_number": "618-445-2615",
            "fax_number": "618-445-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NORTH 5TH STREET",
            "city": "ALBION",
            "state": "IL",
            "postal_code": "62806",
            "telephone_number": "618-445-2615",
            "fax_number": "618-445-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EDWARDS COUNTY NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "618-445-2615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards County Health Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edwards County Health Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.