Organization
CLAY COUNTY HEALTH DEPT
Active
Parent organization
CLAY COUNTY HEALTH DEPARTMENT
Other names
CLAY COUNTY HEALTH DEPT. HOSPICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAY COUNTY HEALTH DEPARTMENT
Authorized official
MR. JEFF ALAN WORKMAN (ADMINISTRATOR)
(618) 662-4406
Entity
Organization
Contact information
Practice address
601 E 12TH ST, FLORA, IL 62839-2335
(618) 662-4406
(618) 662-2801
Mailing address
601 E 12TH ST, FLORA, IL 62839-2335
(618) 662-4406
(618) 662-2801
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2002293
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50257
BCBS PROVIDER ID
IL
Enumeration date
11/06/2006
Last updated
12/12/2011
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