Organization
COUNTY OF LAWRENCE HEALTH DEPARTMENT
Active
Other names
Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LYDEN (DIRECTOR OF PATIENT ACCOUNTS)
(618) 943-3302
Entity
Organization
Contact information
Practice address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(618) 943-3302
(618) 943-7396
Mailing address
PO BOX 516, LAWRENCEVILLE, IL 62439-0516
(618) 943-4663
(618) 943-7396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687236
HEALTHLINK
IL
01
—
9753
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/23/2006
Last updated
02/02/2023
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