MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
NPI 1184351173
Clinic/Center - Federally Qualified Health Center (FQHC) in Carlinville, IL

Active since August 01, 2022CLIA Certified · 3 labs
205 OAKLAND AVE, CARLINVILLE, IL 62626(217) 854-3223(217) 854-3225 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2023, Feb 6, 2023, Aug 1, 2022 (3 updates tracked since 2022).

About Macoupin County Public Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT (NPI 1184351173) is a healthcare organization registered as a federally qualified health center (fqhc) in Carlinville, Illinois and active in the NPI registry since August 2022. The organization holds 3 active CLIA laboratory certificates and lists Christy Blank, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184351173
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
Location Address205 OAKLAND AVECarlinville, IL 62626-1921
Mailing Address205 Oakland AveCarlinville, IL 62626-1921 · (217) 854-3223
Fax(217) 854-3225
Organization SubpartNo
Authorized OfficialChristy BlankCeo · (217) 930-2283
Enumeration DateAugust 1, 2022
Last NPPES UpdateApril 13, 20233 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1184351173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
205 OAKLAND AVE, Carlinville, IL 62626

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Macoupin County Public Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Macoupin County Public Health Department, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Dentist8
Nurse Practitioner7
Clinical Social Worker3
Family Practice1
Mental Health Counselor1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 21
Clinical Social Worker
NPI 1982982534
205 OAKLAND AVE
Carlinville, IL 62626
(217) 854-3223
✔ PECOSSame address
Mental Health Counselor
NPI 1871110734
205 OAKLAND AVE
Carlinville, IL 62626
(217) 854-3223
✔ PECOSSame address
Dentist
NPI 1700967031
204 OAKLAND AVE
Carlinville, IL 62626
(217) 854-4741
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1528677119
1115 MORGAN ST
Carlinville, IL 62626
(217) 854-3223
0.3 mi
Dentist
NPI 1952916355
1115 MORGAN ST
Carlinville, IL 62626
(217) 854-3223
✔ PECOS0.3 mi
Dentist
NPI 1093956534
1115 MORGAN ST
Carlinville, IL 62626
(217) 854-3223
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1447789169
109 E MAPLE ST
Gillespie, IL 62033
(217) 839-1526
✔ PECOS11 mi
Dentist
NPI 1073126199
109 E MAPLE ST
Gillespie, IL 62033
(217) 854-3223
✔ PECOS11 mi
Dentist
NPI 1114601051
109 E MAPLE ST
Gillespie, IL 62033
(217) 839-4110
✔ PECOS11 mi
Nurse Practitioner
NPI 1316441868
109 E MAPLE ST
Gillespie, IL 62033
(217) 839-1526
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1306590088
109 E MAPLE ST
Gillespie, IL 62033
(217) 854-3223
✔ PECOS11 mi
Nurse Practitioner
NPI 1306584917
109 E MAPLE ST
Gillespie, IL 62033
(217) 839-1526
✔ PECOS11 mi
Dentist
NPI 1902641780
109 E MAPLE ST
Gillespie, IL 62033
(217) 854-3223
✔ PECOS11 mi
Nurse Practitioner
NPI 1285673780
109 E MAPLE ST
Gillespie, IL 62033
(217) 854-3223
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1356599971
109 E MAPLE ST
Gillespie, IL 62033
(217) 839-1526
✔ PECOS11 mi
Dentist
NPI 1669062402
125 W COLUMBIAN BLVD S
Litchfield, IL 62056
(217) 854-3223
✔ PECOS13 mi
Clinical Social Worker
NPI 1609625136
805 SAINT FRANCIS WAY
Litchfield, IL 62056
(217) 250-2380
✔ PECOS14 mi
Nurse Practitioner
NPI 1790249449
805 SAINT FRANCIS WAY
Litchfield, IL 62056
(217) 250-2380
✔ PECOS14 mi
Nurse Practitioner
NPI 1881387660
805 SAINT FRANCIS WAY
Litchfield, IL 62056
(217) 250-2380
✔ PECOS✔ Accepts Medicare14 mi
Dentist
NPI 1750499729
3162 TRAYLOR TRL
Litchfield, IL 62056
(217) 622-5137
✔ PECOS15 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2268580

Macoupin County Public Health Department · Carlinville, IL
Active · expires Sep 13, 2028
CLIA Number14D2268580
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorAugust Adams
Laboratory Phone(217) 854-3223
Laboratory LocationMacoupin County Public Health Department205 Oakland Ave, Carlinville, IL 62626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2207232

Macoupin County Public Health Department · Litchfield, IL
Active · expires Dec 25, 2026
CLIA Number14D2207232
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorAugust A. Adams M D
Laboratory Phone(217) 854-3223
Laboratory LocationMacoupin County Public Health Department805 Saint Francis Way, Litchfield, IL 62056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2202506

Macoupin County Public Health Department · Litchfield, IL
Active · expires Nov 28, 2026
CLIA Number14D2202506
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorAugust G. Adams M D
Laboratory Phone(217) 854-3223
Laboratory LocationMacoupin County Public Health Department125 W Columbian Blvd S, Litchfield, IL 62056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macoupin County Public Health Department's NPI number?

The NPI number for Macoupin County Public Health Department is 1184351173. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Macoupin County Public Health Department located?

Macoupin County Public Health Department is located at 205 Oakland Ave, Carlinville, IL 62626. The listed phone number is (217) 854-3223.

What is Macoupin County Public Health Department's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Macoupin County Public Health Department enrolled in Medicare?

Yes. Macoupin County Public Health Department is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Macoupin County Public Health Department?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Macoupin County Public Health Department. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (8), Nurse Practitioner (7) and Clinical Social Worker (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Macoupin County Public Health Department hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Macoupin County Public Health Department accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Macoupin County Public Health Department as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Macoupin County Public Health Department was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.