Organization
JEFFERSON COUNTY COMPREHENSIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BOEHMER C.E.O. (C.E.O.)
(618) 242-1510
Entity
Organization
Contact information
Practice address
16342 N IL HWY 37, MT VERNON, IL 62864
(618) 242-1510
(618) 242-0958
Mailing address
PO BOX 428, MT VERNON, IL 62864
(618) 242-1510
(618) 242-0958
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004115177
BCBS
IL
01
—
372631
HEALTHLINK
—
01
—
497770000
MAGELLAN
—
Enumeration date
07/04/2006
Last updated
05/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us