Macoupin County Public Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

330330 Issued in IL

Legal business name

MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT

Practice address

205 Oakland Ave
Carlinville, IL 62626-1921

Phone

(217) 854-3223

Fax

(217) 854-3225

NPI assigned

Feb 28, 2007

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENTAs reported in NPPES

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

Authorized official

Name

Christy Blank

Title

Ceo

Phone

(217) 930-2283

Specialties & licenses 1

Addresses

Part of

Mindbalanced Inc

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1306973961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223",
            "fax_number": "217-854-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223",
            "fax_number": "217-854-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-930-2283"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "330330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Locust Street Resource Center Cila #1
• Rebecca K. Loy
• Lydia S Q Villafuerte MD
• Macoupin County Housing Authority (The Village At Morse Farm)
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin County Public Health Department (Macoupin County Public Health Clinic Site)
• Macoupin County Public Health Department
• Macoupin Family Practice Centers, LLP (Carlinville Family Practice Center)
• Macoupin Family Practice Centers, LLP (Carlinville Family Practice)

• Public Health or Welfare Agency in Carlinville, IL
• Providers in Carlinville, 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 13, 2023; 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.