Organization Active NPI

County of Effingham

Doing business as Effingham County Health Department

  • Health Service Clinic/Center
  • Effingham, IL
National Provider Identifier
1508906991
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000146 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7214060888 Practice locations: Effingham, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0663290Effingham County Health Department901 W Virginia Ave - Box 685, Effingham, IL 62401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.