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Organization

SOUTHERN SEVEN HEALTH DEPT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA ANDREWS-RAY (EXECUTIVE DIRECTOR)
(618) 634-2297
Entity
Organization

Contact information

Practice address
37 RUSTIC CAMPUS DR, ULLIN, IL 62992-2226
(618) 634-2297
(618) 634-9011
Mailing address
37 RUSTIC CAMPUS DR, ULLIN, IL 62992-2226
(618) 634-2297
(618) 634-9011

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010017185
RAILROAD MEDICARE-PULASKI
IL
01
600001836
RAILROAD MEDICARE - UNION COUNTY
IL
01
600001837
RAILROAD MEDICARE-ALEX CO
IL
01
600001850
RAILROAD MEDICARE-MASSAC
IL
01
600001851
RAILROAD MEDICARE-JOHNSON
IL
01
600001852
RAILROAD MEDICARE-HARDIN
IL
01
600001853
RAILROAD MEDICARE-POPE CO
IL
Enumeration date
12/04/2006
Last updated
02/02/2023
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