NPIMap

Organization Active NPI

Livingston Co Public HLTH Dept

  • Health Service Clinic/Center
  • Pontiac, IL
National Provider Identifier
1235302308
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LIVINGSTON CO PUBLIC HLTH DEPT
Practice address
1100 E Indiana Ave
Pontiac, IL 61764-1204
Phone
(815) 844-6113
Fax
(815) 842-6517
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Malinda Hillman
Title
Administrator
Phone
(815) 844-7174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1100 E Indiana Ave
Pontiac, IL 61764-1204

Mailing address

310 E Torrance Ave
Pontiac, IL 61764-2748
Phone (815) 844-7174

Other identifiers 1

IdentifierTypeStateIssuer
6176414MedicaidIL

Other names 1

  • Pontiac Township High School SCHOOL BASE HEALTH CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Livingston Co Public HLTH Dept10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1235302308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E TORRANCE AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642748",
            "telephone_number": "815-844-7174",
            "fax_number": "815-842-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E INDIANA AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641204",
            "telephone_number": "815-844-6113",
            "fax_number": "815-842-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON CO PUBLIC HLTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-844-7174"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6176414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontiac Township High School SCHOOL BASE HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.