# MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447388392
- **Legal business name:** MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
- **Authorized official:** MR. KENT ALAN TARRO (ADMINISTRATOR)
- **Authorized official phone:** (217) 854-3223

## Contact information

- **Practice address:** 109 E MAPLE ST, GILLESPIE, IL 62033-1473
- **Practice address phone:** (217) 839-4110
- **Practice address fax:** (217) 839-4105
- **Mailing address:** 205 OAKLAND AVE, CARLINVILLE, IL 62626-1921
- **Mailing address phone:** (217) 839-7820
- **Mailing address fax:** (217) 839-1538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 005 | IL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 04/04/2025