Organization Name: | MASON COUNTY |
NPI Number: | 1235340951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CURT JIBBEN (PUBLIC HEALTH ADMINISTRATOR) |
Mailing Address: | 1002 E Laurel Ave Havana |
State: | IL US |
Postal Code: | 626446973 |
Phone Number: | 3095432201 |
Fax Number: | 3095432063 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 11/26/2012 |
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: |