CARROLL COUNTY HEALTH DEPARTMENT — NPI 1740585942 (Licensed & Credentialed Case Management in MOUNT CARROLL, IL)

CMS-1500 Box 24J / 33a • NPI

1740585942

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251B00000X

Licensed & Credentialed Case Management

Box 32 Service Location & ZIP+4

822 S MILL ST, MOUNT CARROLL, IL, 61053-1243

✓ 9-Digit EDI 837 ZIP+4 (61053-1243)

Practice Phone & Referral Fax

(815) 244-8855

Fax: (815) 244-5010

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740585942 (CARROLL COUNTY HEALTH DEPARTMENT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740585942` (NPI-2 Organization / Facility)
Provider / Legal Name	CARROLL COUNTY HEALTH DEPARTMENT
Plain-English Specialty	Licensed & Credentialed Case Management NUCC Code: `251B00000X` (Case Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	822 S MILL ST, MOUNT CARROLL, IL, 61053-1243
Practice Telephone / Fax	Tel: (815) 244-8855 \| Fax: (815) 244-5010
Administrative Mailing Address	822 S MILL ST, MOUNT CARROLL, IL, 61053-1243
Enumeration & Last Sync	Enumerated: 2011-01-19 \| CMS Record Updated: 2011-01-19
Authorized Official	JENNIFER MILLER (RN)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

822 S MILL ST, MOUNT CARROLL, IL, 61053-1243

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Plain-English Taxonomy & CMS Crosswalk (251B00000X)

What Does Taxonomy Code 251B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251B00000X translates to:
"Licensed & Credentialed Case Management"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARROLL COUNTY HEALTH DEPARTMENT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: IL \| License: `261QH0100X` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CARROLL COUNTY HEALTH DEPARTMENT (NPI #1740585942)