County of Logan

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

IL1001866 Issued in 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

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Mark Hilliard

Title

Administrator

Phone

(217) 735-2317

Specialties & licenses 1

Addresses

Other names 1

• Home Care of Central Illinois Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Logan

  dba Logan County Health Department

  • Public Health or Welfare Agency
  • Lincoln, IL
  • NPI 1073762290

  O20061107000298

  Same enrollment

Part of

County of Logan

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Logan

  dba Logan County Health Department

  • Public Health or Welfare Agency
  • Lincoln, IL
  • NPI 1073762290

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1790785186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 3RD ST",
            "address_2": "P.O. BOX 508",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626560508",
            "telephone_number": "217-735-2317",
            "fax_number": "217-732-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 3RD ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626560508",
            "telephone_number": "217-735-2317",
            "fax_number": "217-732-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-735-2317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "IL1001866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care of Central Illinois",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Living Options Inc (Lincoln Terrace)
• Community Living Options Inc (Lawrence Place)
• Ruth E Cook, ATC, LAT
• Mandy Kay Cordray, CNA
• County of Logan (Logan County Health Department)
• Melissa L. Cox, M.D.
• Cra, Inc
• Jaycee Craver
• Julie Cross, PT
• Cassandra Dahm, RDH

• Public Health or Welfare Agency in Lincoln, IL
• Providers in Lincoln, 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 Mar 25, 2010; 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.

Verify at the official NPI Registry.