Jackson County

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

JACKSON COUNTY

Practice address

415 Health Department Rd
Murphysboro, IL 62966-6108

Phone

(618) 684-3143

Fax

(618) 684-6023

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam Link-Mullison

Title

Administrator

Phone

(618) 684-3143

Specialties & licenses 1

Addresses

Other names 1

• Jackson County Health Department Doing business as

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).

• Jackson County

  • Land Ambulance
  • Murphysboro, IL
  • NPI 1437260528

  7315956125

  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

Jackson County2 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.

• Jackson County

  • Land Ambulance
  • Murphysboro, IL
  • NPI 1437260528
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jackson County

  • Land Ambulance
  • Murphysboro, IL
  • NPI 1437260528
  NPPES parent name

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1831294461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629660307",
            "telephone_number": "618-684-3143",
            "fax_number": "618-684-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HEALTH DEPARTMENT RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666108",
            "telephone_number": "618-684-3143",
            "fax_number": "618-684-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "LINK-MULLISON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-684-3143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Autumn Hood, OT
• James M Houseworth, DDS
• Indiana Hearing LLC
• Lindsey Marie Ingle, D.D.S.
• Jackson County
• Jackson County Surgical Associates
• Casie Jacobs, PHARM. D.
• Shalane Rhea Jones, DMD
• Kimberly Anne Kalaher, D.C.
• Michael Kalaher, O.D.

• All providers in Murphysboro, 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 Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.