Organization
COUNTY OF HENRY
Active
Other names
First Choice Healthcare, Henry County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LAFOLLETTE (INSURANCE BILLING)
(309) 852-0197
Entity
Organization
Contact information
Practice address
110 N BURR BLVD, KEWANEE, IL 61443-2214
(309) 852-0197
(098) 545-5753
Mailing address
110 N BURR BLVD, KEWANEE, IL 61443-2214
(309) 852-0197
(098) 545-5753
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241300
MEDICARE PART B
IL
01
—
3721776
BCBS
IL
01
—
DH1819
MEDICARE RR
IL
Enumeration date
05/24/2005
Last updated
04/28/2025
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