County of Peoria

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF PEORIA

Doing business as

Peoria City/County Health Department

Practice address

2116 N Sheridan Rd
Peoria, IL 61604-3457

Phone

(309) 679-6118

Fax

(309) 679-6610

NPI assigned

Mar 16, 2007

Last updated

Mar 11, 2022By 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

Mr. Brian Dane Gulley, MBA

Title

Director of Financial Services

Phone

(309) 679-6118

Specialties & licenses 1

Addresses

Other names 1

• Peoria City/County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Peoria City Health Dept4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• County of Peoria

  dba Heddington Oaks

  • Oxygen Equipment & Supplies (DME)
  • West Peoria, IL
  • NPI 1053577429
  NPD tax ID
• Peoria County Court Administration

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Peoria, IL
  • NPI 1629379359
  NPD tax ID
• Peoria County Rural Transportation

  • Secured Medical Transport (VAN)
  • Peoria, IL
  • NPI 1083970537
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• County of Peoria

  dba Heddington Oaks

  • Skilled Nursing Facility
  • West Peoria, IL
  • NPI 1184784118

  Member Of

  NPD member

Locations

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.

• Jacque Lynn Sutton

  • Registered Dietitian
  • East Peoria, IL
  • NPI 1437313152
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1497889661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043457",
            "telephone_number": "309-679-6118",
            "fax_number": "309-679-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043457",
            "telephone_number": "309-679-6118",
            "fax_number": "309-679-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PEORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "309-679-6118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoria City/County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laketia Cotton, CNA
• Kyle Cottone, P.T.
• Counseling & Family Services
• Eva Tarce Counsil, OTR/L
• Countermeasures, Inc.
• Maggie Cour, RN
• Couri Center for Gynecology and Integrative Womens Health SC
• Candace Couri
• Carla C Couri, D.M.D.
• Christopher Joseph Couri, DDS MS

• Public Health or Welfare Agency in Peoria, IL
• Providers in Peoria, 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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.