# COUNTY OF CLAY

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

## Provider details

- **NPI number:** 1215317995
- **Authorized official:** CHELSEA MUSGRAVE (CHIEF HUMAN RESOURCES OFFICER)
- **Authorized official phone:** (618) 662-2131

## Contact information

- **Practice address:** 413 PARK STREET, CISNE, IL 62823
- **Practice address phone:** (618) 844-3300
- **Mailing address:** PO BOX 280, FLORA, IL 62839-0280
- **Mailing address phone:** (618) 662-2131
- **Mailing address fax:** (618) 662-1482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 05/10/2018