Organization
COUNTY OF JASPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA ZUMBAHLEN BSN (ADMINISTRATOR)
(618) 783-4436
Entity
Organization
Contact information
Practice address
106 EDWARDS ST, NEWTON, IL 62448-1736
(618) 783-4436
(618) 783-4146
Mailing address
106 EDWARDS ST, NEWTON, IL 62448-1736
(618) 783-4436
(618) 783-4146
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
261QH0100X
IL
Other
Enumeration date
03/07/2006
Last updated
05/16/2023
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