COUNTY OF EDWARDS NPI 1235224130

NPI Information

NPI: 1235224130
Provider Name: COUNTY OF EDWARDS

Doing Business As: EDWARDS COUNTY HEALTH OFFICE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
329 NORTH 5TH STREET
ALBION, IL
ZIP 62806
Phone: (618) 445-2615
Get Directions

COUNTY OF EDWARDS is a health service clinic center in Albion, IL. COUNTY OF EDWARDS NPI is 1235224130. The provider is registered as an organization entity type.
The provider Is Doing Business As Edwards County Health Office.

The provider's business location address is:

329 NORTH 5TH STREET
ALBION, IL
ZIP 62806
Phone: (618) 445-2615
Fax: (618) 445-3851

The provider's authorized official is Amanda Mccoy .
The authorized official title is Edwards County Nurse Administrator and has the following contact phone number (618) 445-2615.

The CLIA number assigned to this NPI record is 14D0869014 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251K00000X	Public Health or Welfare		No
2	261QR1300X	Clinic/Center	Rural Health	No
3	261QH0100X	Clinic/Center	Health Service	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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