LIVINGSTON COUNTY
NPI 1255398517
Clinic/Center - Community Health in Pontiac, IL

Active since April 28, 2006CLIA 14D0646839 · Microscopy
310 E TORRANCE AVE, PONTIAC, IL 61764(815) 844-7174(815) 842-1063 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Livingston County NPPES

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

LIVINGSTON COUNTY (NPI 1255398517) is a healthcare organization registered as a community health in Pontiac, Illinois and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through October 31, 2026 and lists Erin Fogarty, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255398517
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIVINGSTON COUNTY
Location Address310 E TORRANCE AVEPontiac, IL 61764-2748
Mailing Address310 E Torrance AvePontiac, IL 61764-2748 · (815) 844-7174 · Fax (815) 842-1063
Fax(815) 842-1063
Organization SubpartNo
Authorized OfficialErin FogartyAdministrator · (815) 842-5908
Enumeration DateApril 28, 2006
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1255398517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
310 E TORRANCE AVE, Pontiac, IL 61764

Other Names 1

Other NameLivingston County Public Health Department

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Livingston County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Livingston County, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1316173636
2500 W REYNOLDS ST
Pontiac, IL 61764
(815) 844-5115
✔ PECOS✔ Accepts Medicare2.4 mi

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

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) 14D0646839

Livingston County Health Department · Pontiac, IL
Active · expires Oct 31, 2026
CLIA Number14D0646839
Laboratory TypeOther
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorJames Sporrer
Laboratory Phone(815) 844-7174
Laboratory LocationLivingston County Health Department310 E Torrance Avenue, Pontiac, IL 61764
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 NPPES & CMS

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

What is Livingston County's NPI number?

The NPI number for Livingston County is 1255398517. It was assigned to this organization in the NPPES registry on April 28, 2006. The provider is also known as Livingston County Public Health Department.

Where is Livingston County located?

Livingston County is located at 310 E Torrance Ave, Pontiac, IL 61764. The listed phone number is (815) 844-7174.

What is Livingston County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Livingston County enrolled in Medicare?

Yes. Livingston County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Livingston County?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Livingston County. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Livingston County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0646839) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Livingston County was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.