| Organization Name: | CLINTON COUNTY |
| NPI Number: | 1700814704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHEAL JON MCMILLAN (ADMINISTRATOR) |
| Mailing Address: | 930 Fairfax St Ste A Carlyle |
| State: | IL US |
| Postal Code: | 622311848 |
| Phone Number: | 6185942723 |
| Fax Number: | 6185945474 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |