Organization Name: | BOARD MEMBERS-CRAWFORD COUNTY GOVERNMENT |
NPI Number: | 1013262914 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARLA KAY TRACY (ADMINISTRATOR) |
Mailing Address: | 202 N Bline Blvd Robinson |
State: | IL US |
Postal Code: | 624541264 |
Phone Number: | 6185448798 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |