Organization
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
Active
Parent organization
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
Authorized official
MR. KENT ALAN TARRO (ADMINISTRATOR)
(217) 854-3223
Entity
Organization
Contact information
Practice address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 839-1526
(217) 839-1538
Mailing address
205 OAKLAND AVE, CARLINVILLE, IL 62626-1921
(217) 839-7820
(217) 839-1538
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005932031
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/01/2007
Last updated
03/10/2025
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