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Contact Information

COUNTY OF FULTON
625 EAST MONROE STREET
CUBA, IL61427-0200
 Phone: 309-785-5012
 Fax: 309-785-5376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COUNTY OF FULTON

NPI Number 1497889554
LBN Legal business name COUNTY OF FULTON
Authorized official MARTHA DANIELSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 11/02/2012 - About 14 years ago
Identifiers
IL License # 0014290
IL Medicaid 370914241001
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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