Organization
CLAY COUNTY HEALTH DEPARTMENT
Active
Parent organization
CLAY COUNTY HEALTH DEPARTMENT
Other names
Clay Home Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAY COUNTY HEALTH DEPARTMENT
Authorized official
MR. JEFF ALAN WORKMAN (ADMINISTRATOR)
(618) 662-4406
Entity
Organization
Contact information
Practice address
601 E 12TH ST, FLORA, IL 62839-2335
(618) 662-4406
(618) 662-2801
Mailing address
601 E 12TH ST, FLORA, IL 62839-2335
(618) 662-4406
(618) 662-2801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000157
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50257
BLUE CROSS/BLUESHIELD
IL
Enumeration date
10/26/2006
Last updated
03/24/2010
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