Provider Demographics
NPI:1376564039
Name:COUNTY OF OGLE
Entity Type:Organization
Organization Name:COUNTY OF OGLE
Other - Org Name:OGLE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:815-562-6976
Mailing Address - Street 1:907 W PINES RD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:IL
Mailing Address - Zip Code:61061-9067
Mailing Address - Country:US
Mailing Address - Phone:815-732-7330
Mailing Address - Fax:815-732-7458
Practice Address - Street 1:907 PINES RD
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:IL
Practice Address - Zip Code:61061-9006
Practice Address - Country:US
Practice Address - Phone:815-562-6976
Practice Address - Fax:815-732-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILNA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14100201OtherDEPT HUMAN SERVICES/CORNE
IL14100201OtherDEPT HUMAN SERVICES/CORNE
IL=========002Medicaid