County of McLean

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

COUNTY OF MCLEAN

Practice address

200 W Front St
Bloomington, IL 61701-5048

Phone

(309) 888-5533

Fax

(309) 452-8479

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Jessica McKnight

Title

Administrator

Phone

(309) 888-5450

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).

• County of McLean

  • Skilled Nursing Facility
  • Normal, IL
  • NPI 1174512016

  7214078542

  Same PAC ID

Tax ID family

County of McLean5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• County of McLean

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IL
  • NPI 1023675634
  NPD tax ID
• County of McLean

  • Skilled Nursing Facility
  • Normal, IL
  • NPI 1174512016
  NPD tax ID
• McLean County Nursing Home

  • Oxygen Equipment & Supplies (DME)
  • Normal, IL
  • NPI 1134372071
  NPD tax ID
• McLean County Nursing Home

  • Non-emergency Medical Transport (VAN)
  • Normal, IL
  • NPI 1497275069
  NPD tax ID

Member of 1

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

• County of McLean

  • Skilled Nursing Facility
  • Normal, IL
  • NPI 1174512016

  Member Of

  NPD member

Locations

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.

• County of McLean

  • Skilled Nursing Facility
  • Normal, IL
  • NPI 1174512016

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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

• Diane V Caruso, DDS

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1982877288
  NPD (past)
• Jerome Mithcell, DDS

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1467609875
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1871513655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015048",
            "telephone_number": "309-888-5533",
            "fax_number": "309-452-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015048",
            "telephone_number": "309-888-5533",
            "fax_number": "309-452-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MCLEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-888-5450"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Couillard, O.D.
• Phyllis Joan Coulter, FNP
• Counseling Resource Institute LLC
• Countermeasures, Inc.
• County of McLean
• Haley Marie Courtney, MS, CCC-SLP
• Jaime Cox
• Kylsea Cox
• Craig a. Bowars DC, PLLC
• Rae Crawford

• Health Service Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.