Organization Name: | COUNTY OF GREENE |
NPI Number: | 1225038169 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH A FLOWERS (ADMINISTRATOR) |
Mailing Address: | 310 5th St Carrollton |
State: | IL US |
Postal Code: | 620161325 |
Phone Number: | 2179426961 |
Fax Number: | 2179423904 |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |