MONROE COUNTY HEALTH DEPARTMENT
NPI 1619110566
Public Health or Welfare in Waterloo, IL

Active since April 08, 2009CLIA 14D1101422 · Waiver
1315 JAMIE LN, WATERLOO, IL 62298(618) 939-3871(618) 939-4459 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Monroe County Health Department NPPES

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

MONROE COUNTY HEALTH DEPARTMENT (NPI 1619110566) is a healthcare organization registered as a public health or welfare in Waterloo, Illinois and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Victoria Kehrer, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1619110566
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOUNTY OF MONROE
Location Address1315 JAMIE LNWaterloo, IL 62298-5569
Mailing Address1315 Jamie LaneWaterloo, IL 62298-5569 · (618) 939-3871 · Fax (618) 939-4459
Fax(618) 939-4459
Organization SubpartNo
Authorized OfficialVictoria KehrerAdministrative Assistant · (618) 939-3871
Enumeration DateApril 8, 2009
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1619110566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
1315 JAMIE LN, Waterloo, IL 62298

Other Names 1

Other NameMonroe County Health Department

Other Identifiers 1

Medicaid1619110566IL

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 of Waiver 14D1101422

Monroe County Health Department · Waterloo, IL
Active · expires Jun 25, 2027
CLIA Number14D1101422
Laboratory TypePublic Health Laboratories
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorJohn C. Wagner
Laboratory Phone(618) 939-3871
Laboratory LocationMonroe County Health Department901 Illinois Ave, Suite A, Waterloo, IL 62298
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
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37 services37 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619110566, enumerated as an "organization" on April 08, 2009.

The provider is located at 1315 JAMIE LN WATERLOO, IL 62298 and the phone number is (618) 939-3871.

Public Health or Welfare with taxonomy code 251K00000X.

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