# COUNTY OF CLAY

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

## Provider details

- **NPI number:** 1871950550
- **Authorized official:** CARRIE MILLER (CHIEF NURSING OFFICER)
- **Authorized official phone:** (618) 662-2131

## Contact information

- **Practice address:** 800 KELLY DR SW, CLAY CITY, IL 62824-1155
- **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 |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 09/17/2021