Pope County Care Home Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POPE COUNTY CARE HOME INC

Doing business as

Pope County Care Center Inc

Practice address

216 E Rosalie Street
Golconda, IL 62938

Phone

(618) 683-7711

Fax

(618) 683-7721

NPI assigned

Mar 15, 2007

Last updated

May 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger W Bagley

Title

Controller

Phone

(618) 549-8331

Specialties & licenses 1

Addresses

Other names 1

• POPE COUNTY CARE CENTER INC Doing business as

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1487788261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E ROSALIE STREET",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-7711",
            "fax_number": "618-683-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E ROSALIE STREET",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-7711",
            "fax_number": "618-683-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE COUNTY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "618-549-8331"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POPE COUNTY CARE CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hardin County Pharmacy LLC
• Rachel Jabr
• Jane James, MS, QMHP
• Joyner Therapy Services
• Pope County Care Home Inc
• Pope County Cusd #1
• Pope County Volunteer Ambulance Service
• Rural Pope County EMS
• Susan G Simmons, RN, QMRP, QMHP
• Sarah Elizabeth Wright, PSYD

• Durable Medical Equipment & Medical Supplies in Golconda, IL
• Providers in Golconda, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.