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Organization
BUREAU COUNTY FAMILY HEALTH
Active
Organization
BUREAU COUNTY FAMILY HEALTH
Active
Parent organization
COUNTY OF BUREAU
Other names
Bureau County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF BUREAU
Authorized official
MR. HECTOR MANUEL GOMEZ (ADMINISTRATOR)
(815) 872-5091
Entity
Organization
Contact information
Practice address
526 S BUREAU VALLEY PKWY, PRINCETON, IL 61356-2046
(815) 872-5091
(815) 872-5092
Mailing address
526 S BUREAU VALLEY PKWY, PRINCETON, IL 61356-2046
(815) 872-5091
(815) 872-5092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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