Macoupin County Public Health Department

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

006 Issued in IL

Legal business name

MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT

Practice address

109 E Maple St
Gillespie, IL 62033-1473

Phone

(217) 839-1526

Fax

(217) 839-1538

NPI assigned

Mar 1, 2007

Organization subpart

Yes

Parent organization

MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENTAs reported in NPPES

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

Authorized official

Name

Mr. Kent Alan Tarro

Title

Administrator

Phone

(217) 854-3223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

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

• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Gillespie, IL
  • NPI 1053892513

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Carlinville, IL
  • NPI 1184351173

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Gillespie, IL
  • NPI 1538444906

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Public Health or Welfare Agency
  • Carlinville, IL
  • NPI 1578618203

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Litchfield, IL
  • NPI 1720687841

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Public Health or Welfare Agency
  • Gillespie, IL
  • NPI 1750814349

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Litchfield, IL
  • NPI 1831798958

  O20060223000446

  Same enrollment
• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Carlinville, IL
  • NPI 1861800526

  O20060223000446

  Same enrollment

Part of

Mindbalanced Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Thomas, FNP-BC

  • Nurse Practitioner
  • Gillespie, IL
  • NPI 1447789169
  NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1801924949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-839-7820",
            "fax_number": "217-839-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAPLE ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331473",
            "telephone_number": "217-839-1526",
            "fax_number": "217-839-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "TARRO",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-854-3223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "IL",
            "license": "006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0005932031",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zuzana Jackevicius Killam
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin Family Practice Center, LLP
• Macoupin Family Practice Centers LLP
• Macoupin Family Practice Centers, LLP
• Divya J Makhija

• All providers in Gillespie, IL
• 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 Mar 10, 2025; 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.