County of Madison

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF MADISON

Doing business as

Madison County Health Department

Practice address

101 E Edwardsville Rd
Wood River, IL 62095-1369

Phone

(618) 296-6065

Fax

(618) 296-7011

NPI assigned

Feb 12, 2007

Last updated

Aug 19, 2024By 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

Mr. Douglas King, LEHP

Title

Public Health Administrator

Phone

(618) 296-6065

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1982746640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951369",
            "telephone_number": "618-296-6065",
            "fax_number": "618-296-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951369",
            "telephone_number": "618-296-6065",
            "fax_number": "618-296-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "618-296-6065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LEHP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "14D0433473",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Living Options Inc (Pershing Terrace)
• Community Living Options Inc (Madison Terrace)
• Community Living Options Inc (Thelma Terrace)
• Community Living Options Inc (Linton Terrace)
• Melonee Cornish, CRADC
• William Clarence Cox, D.M.D.
• Kathleen Crockett, RPT
• Christine Renee Delgado, LCPC
• DF Roberson & WJ Stapleton DDS, LTD
• Johan C Dinkelmann, DC

• Public Health or Welfare Agency in Wood River, IL
• Providers in Wood River, IL by specialty
• Public Health or Welfare Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.