Organization Name: | COUNTY OF HENRY |
NPI Number: | 1164820999 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUANE STEVENS (ADMINISTRATOR) |
Mailing Address: | 4424 Us Highway 34 Kewanee |
State: | IL US |
Postal Code: | 614438319 |
Phone Number: | 3098520197 |
Fax Number: | 3098520595 |
NPI Enumeration Date: | 12/10/2014 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |