NPI: 1598921025
Provider Name: COUNTY OF WOODFORD
Doing Business As: WOODFORD COUNTY HEALTH DEPARTMENT
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization
Specialization: Public Health, State or Local
CLIA Number: 14D0860825
Address:
1831 S MAIN ST
EUREKA, IL
ZIP 61530
Phone: (309) 467-3064
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COUNTY OF WOODFORD is a public health and state or local clinic center in Eureka, IL. COUNTY OF WOODFORD NPI is 1598921025. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodford County Health Department.
The provider's business location address is:
1831 S MAIN ST
EUREKA, IL
ZIP 61530-707
Phone: (309) 467-3064
Fax: (309) 467-5104
The provider's authorized official is Hillary Aggertt .
The authorized official title is Administrator and has the following contact phone number (309) 467-3064.
The CLIA number assigned to this NPI record is 14D0860825 - other - public health dept with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2008 and was last updated on 7/14/2023.