Active NPI
Franklin-Williamson Bi-County Health Dept.
- Public Health or Welfare Agency
- Marion, IL
National Provider Identifier
1770995490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- FRANKLIN-WILLIAMSON BI-COUNTY HEALTH DEPT.
- Practice address
- 8160 Express Dr
Marion, IL 62959-5817 - Phone
- (618) 993-8111
- Fax
- (618) 993-6455
- NPI assigned
- May 29, 2014
- 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
- Robin Koehl
- Title
- Administrator
- Phone
- (618) 993-8111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
8160 Express Dr
Marion, IL 62959-5817
Mailing address
8160 Express Dr
Marion, IL 62959-5817
Phone (618) 993-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061229000063 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941220107 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Benton, IL; Marion, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Home Health Agency
- Marion, IL
- NPI 1326041294
O20061229000063
National Provider Directory
National Provider Directory- Tax ID family
- Franklinwilliamson Bicounty
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Marion, IL
- NPI 1326041294
Locations
2312 W Main St
Marion, IL 62959
Phone (618) 998-0507
Interoperability endpoints
- https://api.platform.athenahealth.com/17884/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401753600000",
"number": "1770995490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8160 EXPRESS DR",
"city": "MARION",
"state": "IL",
"postal_code": "629595817",
"telephone_number": "618-993-8111",
"fax_number": "618-993-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8160 EXPRESS DR",
"city": "MARION",
"state": "IL",
"postal_code": "629595817",
"telephone_number": "618-993-8111",
"fax_number": "618-993-6455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANKLIN-WILLIAMSON BI-COUNTY HEALTH DEPT.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-29",
"last_updated": "2014-06-03",
"status": "A",
"authorized_official_last_name": "KOEHL",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "618-993-8111"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.