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Contact Information

FORD-IROQUOIS PUBLIC HEALTH DEPT
114 N 3RD ST
WATSEKA, IL60970-1302
 Phone: 815-432-2483
 Fax: 815-432-2198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Case Management

251B00000X
 

Nursing Care

251J00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for FORD-IROQUOIS PUBLIC HEALTH DEPT

NPI Number 1457358285
LBN Legal business name FORD-IROQUOIS PUBLIC HEALTH DEPT
Authorized official CARY HAGEN - (FINANCIAL AID COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 01/10/2013 - About 13 years ago
Identifiers
IL License # 1001528
IL Medicaid 690333015002
IL Other 9622 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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