County of Stephenson

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF STEPHENSON

Practice address

10 W Linden St
Freeport, IL 61032-3310

Phone

(815) 235-8350

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Kowalke, BS

Title

Financial Business Manager

Phone

(815) 235-8350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Stephenson Nursing Center

  • Skilled Nursing Facility
  • Freeport, IL
  • NPI 1265413900

  2769483270

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Marie a Heimerdinger MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stephenson Nursing Center

  • Skilled Nursing Facility
  • Freeport, IL
  • NPI 1265413900
  NPD tax ID

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Stephenson Nursing Center

  • Skilled Nursing Facility
  • Freeport, IL
  • NPI 1265413900

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801959226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W LINDEN ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W LINDEN ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323310",
            "telephone_number": "815-235-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STEPHENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOWALKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FINANCIAL BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-235-8350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory D Cooley, RN
• Jeff Cooper
• Jessica Coplan
• Katelyn E Copus, MS. CCC-SLP
• Andrea Cossey
• Martha Cowan, OTRL
• Princetiss Cross
• Jill Cummins
• Jessica Lee Currier, PT
• Kelsey Elizabeth Curry, OTR

• Public Health or Welfare Agency in Freeport, IL
• Providers in Freeport, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.