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PERRY COUNTY COUNSELING CENTER INC NPI 1417010760


NPI Information

NPI: 1417010760
Provider Name: PERRY COUNTY COUNSELING CENTER INC

Doing Business As: DEER RUN FAMILY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1016 S MADISON ST
SUITE A
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-4357
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PERRY COUNTY COUNSELING CENTER INC is a rural health clinic center in Du Quoin, IL. PERRY COUNTY COUNSELING CENTER INC NPI is 1417010760. The provider is registered as an organization entity type.
The provider Is Doing Business As Deer Run Family Care.

The provider's business location address is:

1016 S MADISON ST
SUITE A
DU QUOIN, IL
ZIP 62832-442
Phone: (618) 542-4357
Fax: (618) 542-3442

The provider's authorized official is John R Venskus .
The authorized official title is Administrator and has the following contact phone number (618) 542-4357.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 6/5/2008.


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
1261QR1300XClinic/CenterRural HealthYes

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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