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JASPER COUNTY HEALTH DEPARTMENT NPI 1942700471


NPI Information

NPI: 1942700471
Provider Name: JASPER COUNTY HEALTH DEPARTMENT
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D0663027

Address:
405 S WHITTLE AVE
OLNEY, IL
ZIP 62450
Phone: (618) 392-3226
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JASPER COUNTY HEALTH DEPARTMENT is a mental health (including community mental health center) clinic center in Olney, IL. JASPER COUNTY HEALTH DEPARTMENT NPI is 1942700471. The provider is registered as an organization entity type.

The provider's business location address is:

405 S WHITTLE AVE
OLNEY, IL
ZIP 62450-262
Phone: (618) 392-3226

The provider's authorized official is Jeannie Johnson .
The authorized official title is Director Of Behavioral Health and has the following contact phone number (618) 783-4154.

The CLIA number assigned to this NPI record is 14D0663027 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 3/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.