Organization
COUNTY OF HENRY
Active
Parent organization
COUNTY OF HENRY
Other names
First Choice Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF HENRY
Authorized official
TARA LAFOLLETTE (CREDENTIALING REPRESENTATIVE)
(309) 852-0197
Entity
Organization
Contact information
Practice address
110 N BURR BLVD, KEWANEE, IL 61443-2214
(309) 852-0197
(309) 852-0595
Mailing address
110 N BURR BLVD, KEWANEE, IL 61443-2214
(309) 852-0197
(309) 852-0595
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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