County of Logan
Organization Active NPI Public Health or Welfare Agency · Lincoln, IL
NPI 1790785186 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1790785186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- IL1001866 (IL)
- Legal business name
- COUNTY OF LOGAN
- Practice address
- 109 3Rd St
Lincoln, IL 62656-0508 - Phone
- (217) 735-2317
- Fax
- (217) 732-6943
- NPI assigned
- Jul 28, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH
Authorized official
- Name
- Mr. Mark Hilliard
- Title
- Administrator
- Phone
- (217) 735-2317
Other NPIs on the same Medicare enrollment 1
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061107000298 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789681644 |
1 other NPI on this enrollment Practice locations: Lincoln, IL |
National Provider Directory
- Part of
- County of Logan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | IL1001866 | IL | Yes |
Addresses
Primary practice location
109 3Rd St
Lincoln, IL 62656-0508
Mailing address
109 3Rd St
P.O. Box 508
Lincoln, IL 62656-0508
Phone (217) 735-2317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600002138 | Other | IL | RAILROAD MEDICARE PROVIDE |
| 382030 | Other | IL | MEDICARE PART B PROVIDER |
Other names
- Home Care of Central Illinois
Other providers in Lincoln, IL
- Community Living Options Inc
- Community Living Options Inc
- Ruth E Cook
- Mandy Kay Cordray
- County of Logan
- Melissa L. Cox
- Cra, Inc
- Jaycee Craver
- Julie Cross
- Cassandra Dahm
All providers in Lincoln, IL · Public Health or Welfare Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.