Organization Name: | COUNTY OF SHELBY |
NPI Number: | 1528042686 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN L MELEGA (PUBLIC HEALTH ADMINISTRATOR) |
Mailing Address: | 1700 W South 3rd St Shelbyville |
State: | IL US |
Postal Code: | 625659510 |
Phone Number: | 2177749555 |
Fax Number: | 2177742355 |
NPI Enumeration Date: | 12/02/2005 |
NPI Last Update Date: | 07/12/2012 |
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: |