Moultrie Co in Sullivan - Public Health Or Welfare

Moultrie Co - NPI 1538213285

Moultrie Co is a Public Health Or Welfare in Sullivan, Illinois. Moultrie Co practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Moultrie Co is 1538213285. The last update date is 2014-12-08.

Moultrie Co's current location address is 202 S Main St, Sullivan, Illinois. You can contact this provider via phone number 2177284114 and fax number 2177282650. The mailing address for Moultrie Co is 202 S Main St, Sullivan, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Moultrie Co
Address 202 S Main St, Sullivan, Illinois
Phone Number 2177284114
Fax Number 2177282650
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Hogan L. Angela
Credentials RN MSPH
Telephone Number 2177284114

NPI Number Detail

NPI Number 1538213285
Provider Enumeration Date 2007-01-22
Last Updated Date 2014-12-08

Provider Mailing Address Detail

Address 202 S Main St
City Sullivan
State Illinois (IL)
Post Code 619511958
Phone Number 2177284114
Fax Number 2177282650

Provider's Primary Taxonomy Detail

Speciality Public Health Or Welfare
Taxonomy 251K00000X
Definition:
Government-funded agency providing population health, disease prevention, emergency preparedness and health education services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
240000139001 IL --

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FAQs about Moultrie Co

What is the Moultrie Co's unique identification number?

The Moultrie Co has been assigned the NPI (National Provider Identifier) Number 1538213285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Moultrie Co's facilities are geographically located?

The facilities of Moultrie Co are physically situated at the following location: 202 S Main St, Sullivan, IL, 619511958.

What is the Moultrie Co's specialty and taxonomy code?

The Moultrie Co's specialty is Public Health Or Welfare, and the corresponding taxonomy code is 251K00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1538213285 to Moultrie Co?

The Moultrie Co received its 1538213285 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.

When was the information related to Moultrie Co most recently updated or refreshed?

The details pertaining to the Moultrie Co, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-08.

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