Organization Active NPI

Clay County Health Department

  • Public Health or Welfare Agency
  • Flora, IL
National Provider Identifier
1871672378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLAY COUNTY HEALTH DEPARTMENT
Practice address
601 E 12TH St
Flora, IL 62839-2335
Phone
(618) 662-4406
Fax
(618) 662-2801
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeff Alan Workman
Title
Administrator
Phone
(618) 662-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IL Primary

Addresses

Primary practice location

601 E 12TH St
Flora, IL 62839-2335

Mailing address

601 E 12TH St
Flora, IL 62839-2335
Phone (618) 662-4406

Other identifiers 2

IdentifierTypeStateIssuer
01332009OtherILHOME DIALYSIS RN PROVIDER
01332005OtherILBC/BS PROVIDER ID-IMM

National Provider Directory

National Provider Directory

Locations

601 E 12th St
Flora, IL 62839
Phone (618) 403-5166

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871672378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 12TH ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628392335",
            "telephone_number": "618-662-4406",
            "fax_number": "618-662-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 12TH ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628392335",
            "telephone_number": "618-662-4406",
            "fax_number": "618-662-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-662-4406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME DIALYSIS RN PROVIDER",
            "identifier": "01332009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID-IMM",
            "identifier": "01332005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.