JACKSON COUNTY NPI 1831294461

NPI Information

  • NPI: 1831294461
  • Provider Name: JACKSON COUNTY
  • Classification: Clinic/Center - 261QP0905X
  • Specialization: Public Health, State or Local
  • Entity Type: Organization
  • Doing Business As: JACKSON COUNTY HEALTH DEPARTMENT
  • CLIA Number: 14D0436725
  • Address: 415 HEALTH DEPARTMENT RD
    MURPHYSBORO, IL
    ZIP 62966
  • Phone: (618) 684-3143

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NPI Details

JACKSON COUNTY is a public health and state or local clinic center in Murphysboro, IL. JACKSON COUNTY NPI is 1831294461. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson County Health Department.

The provider's business location address is:

415 HEALTH DEPARTMENT RD
MURPHYSBORO, IL
ZIP 62966-108
Phone: (618) 684-3143
Fax: (618) 684-6023

The provider's authorized official is Miriam Link-mullison .
The authorized official title is Administrator and has the following contact phone number (618) 684-3143.

The CLIA number assigned to this NPI record is 14D0436725 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 9/25/2013.

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 License Number License State Primary
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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
1G24475MEDICARE UPINILLINOIS
2=========006MEDICAIDILLINOIS
3612290MEDICARE PINILLINOIS

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: 3/30/2025

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