Active NPI
County of Morgan Health Dept
- Public Health or Welfare Agency
- Jacksonville, IL
National Provider Identifier
1316974595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF MORGAN HEALTH DEPT
- Practice address
- 425 E State Street
Jacksonville, IL 62650-2125 - Phone
- (217) 245-5111
- Fax
- (217) 243-4773
- NPI assigned
- Jun 26, 2006
- Last updated
- Jun 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dale A Bainter, BS
- Title
- Public Health Administrator
- Phone
- (217) 245-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
425 E State Street
Jacksonville, IL 62650-2125
Mailing address
425 E State Street
Jacksonville, IL 62650-2125
Phone (217) 245-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120308000678 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133388218 | Practice locations: Jacksonville, IL |
National Provider Directory
National Provider DirectoryLocations
345 W State St
Jacksonville, IL 62650
Phone (217) 245-5111
425 E State St
Jacksonville, IL 62650
Phone (217) 245-5111
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.
-
- Obstetrics & Gynecology Physician
- Jacksonville, IL
- NPI 1780726430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1316974595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E STATE STREET",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626502125",
"telephone_number": "217-245-5111",
"fax_number": "217-243-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E STATE STREET",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626502125",
"telephone_number": "217-245-5111",
"fax_number": "217-243-4773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF MORGAN HEALTH DEPT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2022-06-08",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "BAINTER",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
"authorized_official_telephone_number": "217-245-5111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "=========",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, IL
- Community Living Options Inc (Anna Terrace)
- Community Living Options Inc (Eisenhower Terrace)
- Community Living Options Inc (Lafayette Terrace)
- Community Living Options Inc (Douglas Terrace)
- David D Coultas, M.D.
- Covenant Care Jacksonville, LLC (Jacksonville Skilled Nursing and Rehabilitation Center)
- Covenant Care of Jacksonville LLC (Modern Care Convalescent and Nursing Home)
- Cpo Services, Inc (Comprehensive Prosthetics & Orthotics)
- Cara Marie Crain, FNP-C
- Rachel Elizabeth Cullen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.