COUNTY OF HENRY NPI 1851394829

NPI Information

NPI: 1851394829
Provider Name: COUNTY OF HENRY

Doing Business As: FIRST CHOICE HEALTHCARE

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
110 N BURR BLVD
KEWANEE, IL
ZIP 61443
Phone: (309) 852-0197
Get Directions

COUNTY OF HENRY is a public health and state or local clinic center in Kewanee, IL. COUNTY OF HENRY NPI is 1851394829. The provider is registered as an organization entity type.
The provider Is Doing Business As First Choice Healthcare.

The provider's business location address is:

110 N BURR BLVD
KEWANEE, IL
ZIP 61443-214
Phone: (309) 852-0197
Fax: (098) 545-5753

The provider's authorized official is Tara Lafollette .
The authorized official title is Insurance Billing and has the following contact phone number (309) 852-0197.

The CLIA number assigned to this NPI record is 14D0431343 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2005 and was last updated on 1/17/2022.

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	Primary
1	253Z00000X	In Home Supportive Care		No
2	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
3	376J00000X	Homemaker		No
4	251E00000X	Home Health		No
5	251K00000X	Public Health or Welfare		No
6	261QP0905X	Clinic/Center	Public Health, State or Local	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DH1819	OTHER	ILLINOIS	MEDICARE RR
2	241300	OTHER	ILLINOIS	MEDICARE PART B
3	3721776	OTHER	ILLINOIS	BCBS

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: 5/5/2024

NPI Synchronization or Removal

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