Country Health, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

COUNTRY HEALTH, INC

Doing business as

Country Health Care & Rehab

Practice address

2304 Country Road 3000 North
Gifford, IL 61847-9756

Phone

(217) 568-7362

Fax

(217) 568-7314

NPI assigned

Nov 20, 2012

Last updated

Oct 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Underwood, CPA

Title

Exec VP, Cfo

Phone

(309) 823-7135

Specialties & licenses 1

Addresses

Other names 1

• Country Health Care & Rehab Doing business as

Tax ID family

Country Health Inc2 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.

• Country Health, Inc

  dba Country Health Care & Rehab

  • Skilled Nursing Facility
  • Gifford, IL
  • NPI 1225029879
  NPD tax ID

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1972847507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W JEFFERSON ST",
            "address_2": "SUITE 401",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013946",
            "telephone_number": "309-828-4361",
            "fax_number": "309-829-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 COUNTRY ROAD 3000 NORTH",
            "city": "GIFFORD",
            "state": "IL",
            "postal_code": "618479756",
            "telephone_number": "217-568-7362",
            "fax_number": "217-568-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXEC VP, CFO",
        "authorized_official_telephone_number": "309-823-7135",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Health Care & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Chumbley, PTA
• Lisa Combs-Yowell, LCSW
• Country Health, Inc (Country Health Care & Rehab)
• Gifford Ccgsd 188
• Priya Ipsen
• Kalista G Lutes, OTR/L
• Jean McCarthy
• Stephanie Millikan

• Oxygen Equipment & Supplies (DME) in Gifford, IL
• Providers in Gifford, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.