County of Henry

NPI #1265066625 in Kewanee, Illinois

Provider Information

NPI Number
1265066625
Entity Type
Organization
Organization Name
County of Henry
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF HENRY
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Feb 25, 2020
Last Updated
Feb 25, 2020

Practice Location

Address
110 N BURR BLVD
ZIP Code
61443-2214
Phone
(309) 852-0197

Authorized Official

Name
TARA LAFOLLETTE
Title
CREDENTIALING REPRESENTATIVE
Phone
(309) 852-0197

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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