NPIMap

Organization Active NPI

Macoupin County Public Health Department

  • Non-emergency Medical Transport (VAN)
  • Carlinville, IL
National Provider Identifier
1972630523
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
002 Issued in IL
Legal business name
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
Practice address
805 N Broad St
Carlinville, IL 62626-1075
Phone
(217) 854-3223
Fax
(217) 854-3225
NPI assigned
Feb 28, 2007
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 002 IL Primary

Addresses

Primary practice location

805 N Broad St
Carlinville, IL 62626-1075

Mailing address

205 Oakland Ave
Carlinville, IL 62626-1921
Phone (217) 839-7820

National Provider Directory

National Provider Directory
Tax ID family
Macoupin County Public8 organizations share this tax ID, including this one
Part of
Mindbalanced Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1972630523",
    "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": "805 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261075",
            "telephone_number": "217-854-3223",
            "fax_number": "217-854-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT",
        "enumeration_date": "2007-02-28",
        "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": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.