Organization Active NPI

Iroquois County Public Health Department

  • Public Health or Welfare Agency
  • Watseka, IL
National Provider Identifier
1972915718
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
IROQUOIS COUNTY PUBLIC HEALTH DEPARTMENT
Practice address
1001 E Grant St
Watseka, IL 60970-1832
Phone
(815) 432-2483
Fax
(815) 432-2198
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
IROQUOIS COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Mrs. Dee Ann Schippert, RN, BSN
Title
Administrator
Phone
(815) 432-2483

Specialties & licenses 1

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

Addresses

Primary practice location

1001 E Grant St
Watseka, IL 60970-1832

Mailing address

1001 E Grant St
Watseka, IL 60970-1832
Phone (815) 432-2483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141104000961 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1254593361 Practice locations: Watseka, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0646707Iroquois County Public Health Dept1001 East Grant St, Watseka, IL 60970Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory
Part of
Iroquois County Public Health Department

Locations

1001 E Grant St
#112B
Watseka, IL 60970
Phone (815) 432-2483

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1972915718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E GRANT ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701832",
            "telephone_number": "815-432-2483",
            "fax_number": "815-432-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E GRANT ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701832",
            "telephone_number": "815-432-2483",
            "fax_number": "815-432-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS COUNTY PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IROQUOIS COUNTY",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "SCHIPPERT",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-432-2483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.