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FULTON COUNTY HEALTH DEPARTMENT
NPI 1245216241
Clinic/Center - Public Health, State or Local in Canton, IL

Active since December 21, 2005CLIA 14D0858054 · Microscopy
700 EAST OAK STREET, CANTON, IL 61520(309) 647-1134(309) 647-9545 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fulton County Health Department NPPES

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

FULTON COUNTY HEALTH DEPARTMENT (NPI 1245216241) is a healthcare organization registered as a public health, state or local in Canton, Illinois and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through August 13, 2027 and lists Damon Scott Roberson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245216241
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameFULTON COUNTY HEALTH DEPARTMENT
Location Address700 EAST OAK STREETCanton, IL 61520
Mailing Address700 East Oak StreetCanton, IL 61520 · (309) 647-1134 · Fax (309) 647-9545
Phone(309) 647-1134
Fax(309) 647-9545
Organization SubpartYesParent: Fulton County
Authorized OfficialDamon Scott RobersonAdministrator · (309) 647-1134
Enumeration DateDecember 21, 2005
Last NPPES UpdateApril 22, 2015
✔ NPI 1245216241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
700 EAST OAK STREET, Canton, IL 61520
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Other Names 1

Doing Business AsFulton County Health Department

Other Identifiers 1

Medicare ID-Type Unspecified328900IL

CLIA Laboratory Certificates CMS CLIA

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) 14D0858054

Fulton County Health Department · Canton, IL
Active · expires Aug 13, 2027
CLIA Number14D0858054
Laboratory TypeOther
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorJoshua Bowers MD
Laboratory Phone(309) 647-1134
Laboratory LocationFulton County Health Department700 East Oak Street, Canton, IL 61520
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.

Frequently Asked Questions

What is FULTON COUNTY HEALTH DEPARTMENT's NPI number?

The NPI number assigned to this healthcare provider is 1245216241, enumerated as an "organization" on December 21, 2005.

Where is the provider located?

The provider is located at 700 EAST OAK STREET CANTON, IL 61520 and the phone number is (309) 647-1134.

What is the provider's specialty?

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

What insurance does FULTON COUNTY HEALTH DEPARTMENT accept?

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