# COUNTY OF CLAY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF CLAY
- **Other names:** Louisville Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831120401
- **Legal business name:** COUNTY OF CLAY
- **Authorized official:** MS. CARRIE MILLER (CHIEF NURSING OFFICER)
- **Authorized official phone:** (618) 662-2131

## Contact information

- **Practice address:** 935 BRYANT ST, LOUISVILLE, IL 62858-1053
- **Practice address phone:** (618) 662-2191
- **Practice address fax:** (618) 662-1482
- **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 |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 09/17/2021