Clinton County

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

Legal business name

CLINTON COUNTY

Doing business as

Clinton County Health Department

Practice address

991 Franklin St
Carlyle, IL 62231-1818

Phone

(618) 594-2723

Fax

(618) 594-5474

NPI assigned

Jun 29, 2006

Last updated

Apr 2, 2025By 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. Chris J Leidel, B.S.

Title

Administrator

Phone

(618) 594-2723

Specialties & licenses 1

Addresses

Other names 1

• Clinton 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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1700814704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 FRANKLIN ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311818",
            "telephone_number": "618-594-2723",
            "fax_number": "618-594-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 FRANKLIN ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311818",
            "telephone_number": "618-594-2723",
            "fax_number": "618-594-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "LEIDEL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-594-2723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlyle Healthcare Center Inc. (Carlyle Healthcare Center)
• Carlyle Healthcare Center, Inc. (Villa Catherine Supportive Living)
• Carlyle Hearing Center LLC (Carlyle Hearing Center)
• Carlyle Senior Living LLC
• Clarion Healing Center, LTD
• Tyson Coffey
• James G Coleman, PA-C
• Community Resource Center Inc.
• Community Resource Center Inc.
• Seth Alan Crocker, RPH

• Community Health Registered Nurse in Carlyle, IL
• Providers in Carlyle, IL by specialty
• Community Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.