# COUNTY OF PUTNAM

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

## Provider details

- **NPI number:** 1407994452
- **Authorized official:** MR. HECTOR MANUEL GOMEZ BBA, ACCOUNTING (PUBLIC HEALTH ADMINISTRATOR)
- **Authorized official phone:** (815) 872-5091

## Contact information

- **Practice address:** 220 E. HIGH ST, HENNEPIN, IL 61327
- **Practice address phone:** (815) 925-7326
- **Practice address fax:** (815) 925-7001
- **Mailing address:** 220 E HIGH ST STE 101, HENNEPIN, IL 61327-9515
- **Mailing address phone:** (815) 925-7326
- **Mailing address fax:** (815) 925-7001

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 06/25/2021