Organization
COUNTY OF CLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MILLER (CHIEF NURSING OFFICER)
(618) 662-2131
Entity
Organization
Contact information
Practice address
800 KELLY DR SW, CLAY CITY, IL 62824-1155
(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
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
09/17/2021
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