| Organization Name: | MACOUPIN COUNTY PUBLIC HEALTH DEPARTMETN |
| NPI Number: | 1578618203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENT ALAN TARRO (ADMINISTRATOR) |
| Mailing Address: | 805 N Broad St Carlinville |
| State: | IL US |
| Postal Code: | 626261075 |
| Phone Number: | 2178543223 |
| Fax Number: | 2178543225 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 240000117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |