COUNTY OF CLAY NPI 1811946411

NPI Information

  • NPI: 1811946411
  • Provider Name: COUNTY OF CLAY
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: CCH MEDICAL CLINIC
  • CLIA Number: 14D0934419
  • Address: 929 STACEY BURK DR
    FLORA, IL
    ZIP 62839
  • Phone: (618) 662-2191

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NPI Details

COUNTY OF CLAY is a rural health clinic center in Flora, IL. COUNTY OF CLAY NPI is 1811946411. The provider is registered as an organization entity type.
The provider Is Doing Business As Cch Medical Clinic.

The provider's business location address is:

929 STACEY BURK DR
FLORA, IL
ZIP 62839-241
Phone: (618) 662-2191
Fax: (618) 662-1482

The provider's authorized official is Carrie Miller .
The authorized official title is Chief Nursing Officer and has the following contact phone number (618) 662-2131.

The CLIA number assigned to this NPI record is 14D0934419 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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