Active NPI
County of Effingham
Doing business as Effingham County Health Department
- Health Service Clinic/Center
- Effingham, IL
National Provider Identifier
1508906991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- COUNTY OF EFFINGHAM
- Doing business as
- Effingham County Health Department
- Practice address
- 901 W Virginia Ave
Effingham, IL 62401-2012 - Phone
- (217) 342-9237
- Fax
- (217) 342-9324
- NPI assigned
- Feb 7, 2007
- Last updated
- Feb 15, 2023
- 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
- Jeffrey Alan Workman
- Title
- Administrator
- Phone
- (217) 342-1125
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1001403 | IL | |
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
901 W Virginia Ave
Effingham, IL 62401-2012
Mailing address
901 W Virginia Ave
Effingham, IL 62401-2012
Phone (217) 342-9237
Other names 1
- Effingham County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120425000146 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214060888 | Practice locations: Effingham, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0663290 | Effingham County Health Department | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
901 W Virginia Ave
Effingham, IL 62401
Phone (217) 342-9237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1508906991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W VIRGINIA AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012012",
"telephone_number": "217-342-9237",
"fax_number": "217-342-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W VIRGINIA AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012012",
"telephone_number": "217-342-9237",
"fax_number": "217-342-9324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF EFFINGHAM",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "WORKMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "217-342-1125"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1001403",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Effingham County Health Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Effingham County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.