NPIMap

Organization Active NPI

Bond County Health Department

  • Public Health or Welfare Agency
  • Greenville, IL
National Provider Identifier
1295965309
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BOND COUNTY HEALTH DEPARTMENT
Practice address
1520 S 4TH St
Greenville, IL 62246-2618
Phone
(618) 664-1442
Fax
(618) 664-1744
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Authorized official

Name
Sean Eifert, MA
Title
Administrator
Phone
(618) 664-1442

Specialties & licenses 1

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

Addresses

Primary practice location

1520 S 4TH St
Greenville, IL 62246-2618

Mailing address

1520 S 4TH St
Greenville, IL 62246-2618
Phone (618) 664-1442

Other names 1

  • Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bond County Health Department9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1295965309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-1442",
            "fax_number": "618-664-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-1442",
            "fax_number": "618-664-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "EIFERT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-664-1442",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.