County of Shelby

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF SHELBY

Practice address

1700 W South 3Rd St
Shelbyville, IL 62565-9510

Phone

(217) 774-9555

Fax

(217) 774-2355

NPI assigned

Dec 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen L Melega III, M.A., HSA

Title

Public Health Administrator

Phone

(217) 774-9555

Specialties & licenses 1

Addresses

Other names 1

• Shelby 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

Locations

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1528042686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W SOUTH 3RD ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659510",
            "telephone_number": "217-774-9555",
            "fax_number": "217-774-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W SOUTH 3RD ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659510",
            "telephone_number": "217-774-9555",
            "fax_number": "217-774-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHELBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "MELEGA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "217-774-9555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.A., HSA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig B Chaney, MD
• Amy Jo Clarey
• Jacqueline R Clayton, APN
• Macy Michelle Collins
• Community Care Systems, Inc.
• Tammy Michelle Craig
• Daisy Ann Cravens, MS
• Kayci Creviston
• Katlynn Dagen
• Das S Gurujal M.D LTD

• Public Health or Welfare Agency in Shelbyville, IL
• Providers in Shelbyville, 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 Jul 12, 2012; 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.