NPIMap

Organization Active NPI

County of Jasper

  • Public Health or Welfare Agency
  • Newton, IL
National Provider Identifier
1992772149
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
261QH0100X Issued in IL
Legal business name
COUNTY OF JASPER
Practice address
106 Edwards St
Newton, IL 62448-1736
Phone
(618) 783-4436
Fax
(618) 783-4146
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Mrs. Sandra Zumbahlen, BSN
Title
Administrator
Phone
(618) 783-4436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 261QH0100X IL Primary

Addresses

Primary practice location

106 Edwards St
Newton, IL 62448-1736

Mailing address

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070601000074 IL Part B Supplier - Clinic/Group Practice 6901904796 Receives reassigned benefits from 7 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newton, IL; Olney, IL
O20120509000541 IL Part B Supplier - Mass Immunization (Roster Biller Only) 6901904796 Practice locations: Newton, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
County of Jasper8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

106 Edwards St
Newton, IL 62448
Phone (618) 783-4154

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1992772149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EDWARDS ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481736",
            "telephone_number": "618-783-4436",
            "fax_number": "618-783-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 EDWARDS ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481736",
            "telephone_number": "618-783-4436",
            "fax_number": "618-783-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JASPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ZUMBAHLEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-783-4436",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "261QH0100X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.