Organization Name: | COUNTY OF MERCER |
NPI Number: | 1205829827 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE HISCOCKS (FISCAL MANAGER) |
Mailing Address: | 305 Nw 7th St Aledo |
State: | IL US |
Postal Code: | 612311072 |
Phone Number: | 3095823759 |
Fax Number: | 3095823793 |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 03/04/2010 |
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: |