Organization
FORD-IROQUOIS PUBLIC HEALTH DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARY ELIZABETH HAGEN (FINANCIAL AID COORDINATOR)
(815) 432-2483
Entity
Organization
Contact information
Practice address
114 N 3RD ST, WATSEKA, IL 60970-1302
(815) 432-2483
(815) 432-2198
Mailing address
114 N 3RD ST, WATSEKA, IL 60970-1302
(815) 432-2483
(815) 432-2198
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1001528
IL
251E00000X
Home Health Agency
Primary
1001528
IL
251J00000X
Nursing Care Agency
1001528
IL
251K00000X
Public Health or Welfare Agency
1001528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690333015002
—
IL
01
—
9622
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/07/2005
Last updated
01/10/2013
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