NPIMap

Organization Active NPI

Perry County Counseling Center Inc

Doing business as Deer Run Family Care

  • Rural Health Clinic/Center
  • Du Quoin, IL
National Provider Identifier
1417010760
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PERRY COUNTY COUNSELING CENTER INC
Doing business as
Deer Run Family Care
Practice address
1016 S Madison St
Suite a
Du Quoin, IL 62832-2442
Phone
(618) 542-4357
Fax
(618) 542-3442
NPI assigned
Dec 18, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
John R Venskus
Title
Administrator
Phone
(618) 542-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1016 S Madison St
Suite a
Du Quoin, IL 62832-2442

Mailing address

1016 S Madison St
Suite a
Du Quoin, IL 62832-2442
Phone (618) 542-4357

Other names 1

  • DEER RUN FAMILY CARE Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1016 S Madison St
Ste A
Du Quoin, IL 62832
Phone (618) 542-4357

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1417010760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S MADISON ST",
            "address_2": "SUITE A",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322442",
            "telephone_number": "618-542-4357",
            "fax_number": "618-542-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S MADISON ST",
            "address_2": "SUITE A",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322442",
            "telephone_number": "618-542-4357",
            "fax_number": "618-542-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "VENSKUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-542-4357"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEER RUN FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Quoin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.