Organization
MOULTRIE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L. HOGAN RN MSPH (ADMINISTRATOR)
(217) 728-4114
Entity
Organization
Contact information
Practice address
202 S MAIN ST, SULLIVAN, IL 61951-1958
(217) 728-4114
(217) 728-2650
Mailing address
202 S MAIN ST, SULLIVAN, IL 61951-1958
(217) 728-4114
(217) 728-2650
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000139001
—
IL
Enumeration date
01/22/2007
Last updated
12/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us