BOONE COUNTY HEALTH DEPARTMENT
NPI 1184748485
Clinic/Center - Public Health, State or Local in Lebanon, IN

Active since March 19, 2007CLIA 15D2276959 · Waiver
116 W WASHINGTON ST STE B202, LEBANON, IN 46052(765) 482-3942(765) 483-4450 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Public Health, State or Local
  • CLIA Number: 15D2276959
  • CLIA Cert. Type: Other - JAIL MEDICAL UNIT
  • CLIA Exp. Date: 02-16-2027

About BOONE COUNTY HEALTH DEPARTMENT

This page provides the complete NPI Profile along with additional information for Boone County Health Department, a primary care provider established in Lebanon, Indiana operating as a Clinic/center, focusing in public health, state or local . The healthcare provider is registered in the NPI registry with number 1184748485 assigned on March 2007. The practitioner's primary taxonomy code is 261QP0905X with license number 0102636A (IN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Boone County Health Department. The authorized official of this NPI record is Dr. Herschell Servies Jr. M.d. (Health Officer)

NPI
1184748485 Verify this NPI
Provider Legal Name
BOONE COUNTY AUDITOR
Other Organization Name
BOONE COUNTY HEALTH DEPARTMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
116 W WASHINGTON ST STE B202 LEBANON, IN 46052
Location Phone
(765) 482-3942
Location Fax
(765) 483-4450
Mailing Address
116 W WASHINGTON ST STE B202 LEBANON, IN 46052
Mailing Phone
(765) 482-3942
Mailing Fax
(765) 483-4450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
01-20-2017
Code Navigator

A primary care provider (PCP) like Boone County Health Department sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Public Health, State or Local

Taxonomy Code
261QP0905X
Type
Ambulatory Health Care Facilities
License No.
0102636A
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. HERSCHELL SERVIES JR. M.D.

Authorized Official Title
HEALTH OFFICER
Authorized Official Phone
(765) 482-3942

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
082460MEDICARE PIN (08)IN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2276959
Facility Type
Other - JAIL MEDICAL UNIT
Certificate Effective Date
February 17, 2025
Certificate Expiration Date
February 16, 2027
Laboratory Director
TONYA POWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Boone County Health Department to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BOONE COUNTY HEALTH DEPARTMENT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184748485, enumerated as an "organization" on March 19, 2007.

The provider is located at 116 W WASHINGTON ST STE B202 LEBANON, IN 46052 and the phone number is (765) 482-3942.

Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.