Organization Active NPI

County of Morgan Health Dept

  • Public Health or Welfare Agency
  • Jacksonville, IL
National Provider Identifier
1316974595
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
=========MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000678 IL Part B Supplier - Mass Immunization (Roster Biller Only) 9133388218 Practice locations: Jacksonville, IL

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.