Organization
DEWITT-PIATT BI-COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SCHROEDER (ADMINSTRATOR)
(217) 935-3427
Entity
Organization
Contact information
Practice address
5924 REVERE ROAD, CLINTON, IL 61727-0518
(217) 935-3427
(217) 935-9820
Mailing address
PO BOX 518, 5924 REVERE ROAD, CLINTON, IL 61727-0518
(217) 935-3427
(217) 935-9820
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600002057
RAILROAD MEDICARE
GA
01
—
600002057
RAILROAD MEDICARE B
—
Enumeration date
07/13/2005
Last updated
12/14/2022
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