County of Washington

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF WASHINGTON

Doing business as

Washington County Health Department

Practice address

177 S Washington St
Nashville, IL 62263-1430

Phone

(618) 327-3644

Fax

(618) 327-4229

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Sharon S Frederking, RN MSN

Title

Administrator

Phone

(618) 327-3644

Specialties & licenses 1

Addresses

Other names 1

• Washington County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Washington

  dba Washington County Ambulance Service

  • Land Ambulance
  • Nashville, IL
  • NPI 1780734293

  3971777632

  Same PAC ID

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

County of Washington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County of Washington

  dba Washington County Ambulance Service

  • Land Ambulance
  • Nashville, IL
  • NPI 1780734293
  NPD tax ID

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1528130150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 S WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631430",
            "telephone_number": "618-327-3644",
            "fax_number": "618-327-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 S WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631430",
            "telephone_number": "618-327-3644",
            "fax_number": "618-327-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "FREDERKING",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-327-3644",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Briles, PA
• Ca Group, LLC
• Crystal G Cathcart
• Jay Douglas Cochran
• Raeanna Beth Conant, PTA
• County of Washington (Washington County Ambulance Service)
• Todd Cox
• Crossroads Physician Corporation
• Developmental Management, Inc. (Colonial Plaza)
• Kristine Lynn Dobler

• State or Local Public Health Clinic/Center in Nashville, IL
• Providers in Nashville, IL by specialty
• State or Local Public Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.