Organization
COUNTY OF LOGAN
Active
Parent organization
LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH
Other names
Home Care of Central Illinois
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH
Authorized official
MR. MARK HILLIARD (ADMINISTRATOR)
(217) 735-2317
Entity
Organization
Contact information
Practice address
109 3RD ST, LINCOLN, IL 62656-0508
(217) 735-2317
(217) 732-6943
Mailing address
109 3RD ST, P.O. BOX 508, LINCOLN, IL 62656-0508
(217) 735-2317
(217) 732-6943
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
IL1001866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382030
MEDICARE PART B PROVIDER
IL
01
—
600002138
RAILROAD MEDICARE PROVIDE
IL
Enumeration date
07/28/2005
Last updated
03/25/2010
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