LAWRENCE COUNTY HEALTH DEPARTMENT RURAL HEALTH CLINIC
NPI 1629132410
Clinic/Center - Rural Health in Lawrenceville, IL

Active since December 19, 2006
2101 JAMES ST, LAWRENCEVILLE, IL 62439(618) 943-3302(618) 943-6409 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2023, Sep 9, 2019, May 8, 2018 (3 updates tracked since 2018).

About Lawrence County Health Department Rural Health Clinic NPPES

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

LAWRENCE COUNTY HEALTH DEPARTMENT RURAL HEALTH CLINIC (NPI 1629132410) is a healthcare organization registered as a rural health in Lawrenceville, Illinois and active in the NPI registry since December 2006. The organization lists Tina Lyden, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1629132410
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOUNTY OF LAWRENCE HEALTH DEPARTMENT
Location Address2101 JAMES STLawrenceville, IL 62439-2027
Mailing Address2101 James StLawrenceville, IL 62439-2027 · (618) 943-3302
Fax(618) 943-6409
Organization SubpartNo
Authorized OfficialTina LydenDirector Of Patient Accounts · (618) 943-3302
Enumeration DateDecember 19, 2006
Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1629132410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2101 JAMES ST, Lawrenceville, IL 62439

Other Names 1

Doing Business AsLawrence County Health Department Rural Health Clinic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrence County Health Department Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Lawrence County Health Department Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Social Worker
NPI 1598179871
11362 COUNTRY CLUB RD
Lawrenceville, IL 62439
(618) 943-3302
✔ PECOS✔ Accepts Medicare1.5 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1225235195
11741 SIZEMORE LN
Lawrenceville, IL 62439
(812) 881-5468
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1427723345
1707 E MAIN ST STE 8
Olney, IL 62450
(618) 839-3198
✔ PECOS20 mi
Clinical Social Worker
NPI 1225485527
1101 N ALLEN ST
Robinson, IL 62454
(618) 544-8500
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1760973424
410 E MACK AVE
Olney, IL 62450
(618) 395-7421
✔ PECOS21 mi
Nurse Practitioner
NPI 1497860811
929 STACEY BURK DR
Flora, IL 62839
(618) 662-2191
✔ PECOS✔ Accepts Medicare42 mi

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

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 County Of Lawrence Health Department's NPI number?

The NPI number for County Of Lawrence Health Department is 1629132410. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Lawrence County Health Department Rural Health Clinic.

Where is County Of Lawrence Health Department located?

County Of Lawrence Health Department is located at 2101 James St, Lawrenceville, IL 62439. The listed phone number is (618) 943-3302.

What is County Of Lawrence Health Department's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is County Of Lawrence Health Department enrolled in Medicare?

Yes. County Of Lawrence Health Department is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Lawrence Health Department?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to County Of Lawrence 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 Nurse Practitioner (3), Clinical Social Worker (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Lawrence Health Department was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.