# JEFFERSON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235253907
- **Authorized official:** JESSICA MCDERMOTT (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (618) 244-7134

## Contact information

- **Practice address:** 4102 S WATER TOWER PL, MOUNT VERNON, IL 62864-6544
- **Practice address phone:** (618) 244-7134
- **Practice address fax:** (618) 244-2640
- **Mailing address:** 4102 S WATER TOWER PL, MOUNT VERNON, IL 62864-6544
- **Mailing address phone:** (618) 244-7134
- **Mailing address fax:** (618) 244-2640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | IL | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 10/30/2024