Organization Name: | JERSEY COUNTY HEALTH DEPARTMENT |
NPI Number: | 1649270729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESE MACIAS (PUBLIC HEALTH ADMINISTRATOR) |
Mailing Address: | 1307 State Highway 109 Jerseyville |
State: | IL US |
Postal Code: | 620522396 |
Phone Number: | 6184989565 |
Fax Number: | 6184986291 |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0050X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Family Planning, Non-Surgical |
Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |