Organization Name: | COUNTY OF CLAY |
NPI Number: | 1184655136 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT R SELLERS (PRESIDENT) |
Mailing Address: | 911 Stacy Burk Dr Flora |
State: | IL US |
Postal Code: | 628393241 |
Phone Number: | 6186622131 |
Fax Number: | 6186621482 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 1813281 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |