County of Jo Daviess

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1494045 Issued in IL

Legal business name

COUNTY OF JO DAVIESS

Practice address

9483 W US 20
Galena, IL 61036-9182

Phone

(815) 777-1040

Fax

(815) 777-0292

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Elizabeth Kane, MPA

Title

Administrator

Phone

(815) 777-0263

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1982605135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9483 W US 20",
            "address_2": "P.O. BOX 318",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610369182",
            "telephone_number": "815-777-1040",
            "fax_number": "815-777-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9483 W US 20",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610369182",
            "telephone_number": "815-777-1040",
            "fax_number": "815-777-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JO DAVIESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-777-0263",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1494045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9646",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "L031253",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cocagne, LCPC
• Peter M. Colegrove, MD
• Consedine Pharmacy Inc
• County of Jo Daviess
• County of Jo Daviess
• Bonnie Cox
• Gene Allen Crist, D.O.
• Alexandra T Dalton
• Gregory Dammann, M.D.
• Thomas John Dennis, LCPC

• Home Health Agency in Galena, IL
• Providers in Galena, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.