Organization
COUNTY OF RICHLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY HARRISON (ADMINISTRATIVE ASSISTANT)
(618) 392-6241
Entity
Organization
Contact information
Practice address
208 E MAIN ST, OLNEY, IL 62450-2114
(618) 392-6241
(618) 393-4078
Mailing address
208 E MAIN ST, OLNEY, IL 62450-2114
(618) 392-6241
(618) 393-4078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-189529
IL
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/23/2006
Last updated
09/12/2025
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