Organization
COUNTY OF CLAY
Active
Parent organization
COUNTY OF CLAY
Other names
Louisville Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF CLAY
Authorized official
MS. CARRIE MILLER (CHIEF NURSING OFFICER)
(618) 662-2131
Entity
Organization
Contact information
Practice address
935 BRYANT ST, LOUISVILLE, IL 62858-1053
(618) 662-2191
(618) 662-1482
Mailing address
PO BOX 280, FLORA, IL 62839-0280
(618) 662-2131
(618) 662-1482
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
09/17/2021
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