Organization
VERMILION COUNTY HEALTHCARE, INC.
Active
Other names
Vermilion County Mental Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN HOLYCROSS PA-C (PHYSICAN ASSISTANT/CEO)
(217) 446-1100
Entity
Organization
Contact information
Practice address
715 W FAIRCHILD ST, DANVILLE, IL 61832-3795
(217) 446-1100
(217) 446-1101
Mailing address
715 W FAIRCHILD ST, DANVILLE, IL 61832-3795
(217) 446-1100
(217) 446-1101
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036103275
IL
261QP2300X
Primary Care Clinic/Center
085002684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416295686183230
—
IL
Enumeration date
05/12/2011
Last updated
05/12/2011
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