Organization
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
Active
Other names
Macoupin County Public Health Clinic Site
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTY BLANK (CHIEF EXECUTIVE OFFICER)
(217) 930-2283
Entity
Organization
Contact information
Practice address
1115 MORGAN ST, CARLINVILLE, IL 62626-1430
(217) 854-3692
Mailing address
205 OAKLAND AVE, CARLINVILLE, IL 62626-1921
(217) 839-7820
(217) 839-1538
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
371001351006
IL
Other
Enumeration date
07/25/2014
Last updated
03/10/2025
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