# CUMBERLAND COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063446938
- **Authorized official:** CYNTHIA DIANE HANLEY (HR MANAGER)
- **Authorized official phone:** (217) 849-3211

## Contact information

- **Practice address:** 200 S. INDIANA ST., TOLEDO, IL 62468-0130
- **Practice address phone:** (217) 849-3211
- **Practice address fax:** (217) 849-3121
- **Mailing address:** P.O. BOX 130, TOLEDO, IL 62468-0130
- **Mailing address phone:** (217) 849-3211
- **Mailing address fax:** (217) 849-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | IL | Yes |
| 363LF0000X | Family Nurse Practitioner | 209005982 | IL | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 01/04/2016
