Organization Name: | COUNTY OF BOONE |
NPI Number: | 1235223058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA FRANK (ADMINISTRATOR) |
Mailing Address: | 1204 Logan Avenue Belvidere |
State: | IL US |
Postal Code: | 610084031 |
Phone Number: | 8155478571 |
Fax Number: | 8155442050 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 04/17/2013 |
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: |