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COUNTY OF MERCER NPI 1205829827


NPI Information

NPI: 1205829827
Provider Name: COUNTY OF MERCER

Doing Business As: MERCER COUNTY HEALTH DEPARTMENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 14D0976912

Address:
305 NW 7TH ST
ALEDO, IL
ZIP 61231
Phone: (309) 582-3759
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COUNTY OF MERCER is a public health or welfare in Aledo, IL. COUNTY OF MERCER NPI is 1205829827. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercer County Health Department.

The provider's business location address is:

305 NW 7TH ST
ALEDO, IL
ZIP 61231-072
Phone: (309) 582-3759
Fax: (309) 582-3793

The provider's authorized official is Sue Hiscocks .
The authorized official title is Fiscal Manager and has the following contact phone number (309) 582-3759.

The CLIA number assigned to this NPI record is 14D0976912 - other - local health department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 3/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
176172MEDICARE ID-TYPE UNSPECIFIEDILLINOISSUBMITTER ID
2=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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