Organization
COUNTY OF HENRY
Active
Other names
Henry County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE STEVENS (ADMINISTRATOR)
(309) 852-0197
Entity
Organization
Contact information
Practice address
4424 US HIGHWAY 34, KEWANEE, IL 61443-8319
(309) 852-0197
(309) 852-0595
Mailing address
4424 US HIGHWAY 34, KEWANEE, IL 61443-8319
(309) 852-0197
(309) 852-0595
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL2813
PTAN
IL
Enumeration date
12/10/2014
Last updated
12/10/2014
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