GOLD PLATE PROGRAM OF PERRY COUNTY – NPI #1932687944
Clinic/Center

GOLD PLATE PROGRAM OF PERRY COUNTY is an AHC clinic located in DU QUOIN, IL. NPPES has assigned the NPI number 1932687944 to GOLD PLATE PROGRAM OF PERRY COUNTY on August 01, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 8 years ago on Aug 16, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLD PLATE PROGRAM OF PERRY COUNTY below.

NPI Profile for
GOLD PLATE PROGRAM OF PERRY COUNTY

NPI Number
1932687944
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOLD PLATE PROGRAM OF PERRY COUNTY
Primary location
721 N HICKORY ST
DU QUOIN, IL 62832
Phone: (618) 542-3511 Fax: (618) 542-2566
Mailing address
PO BOX 345
DU QUOIN, IL 62832-0345
Phone: (618) 542-3511 Fax: (618) 542-2566
Organization Subpart
No
Authorized Official
TAMMY ASBURY
EXECUTIVE DIRECTOR
Phone: (618) 542-3511
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
253Z00000X
- In Home Supportive Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.