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NPI Code Detail

MEDICARE: BOND COUNTY TREASURER

MEDICARE: BOND COUNTY TREASURER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1437238177
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOND COUNTY TREASURER
Provider Business Mailing Address
First Line : 1520 S 4TH ST
Second Line :
City : GREENVILLE
State : IL
Zip : 62246-2618
Country : US
Telephone Number : 618-664-1455
Fax Number : 618-664-1374
Provider Business Practice Location Address
First Line : 1520 S 4TH ST
Second Line :
City : GREENVILLE
State : IL
Zip : 62246-2618
Country : US
Telephone Number : 618-664-1455
Fax Number : 618-664-1374
Authorized Official
Title or Position : ADMINISTRATOR
Name : SEAN EIFERT
Credential : MA
Telephone Number : 618-664-1442
Provider Enumeration Date : 11/03/2006
Last Update Date : 02/14/2020

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1063607992 — DEBORAH SIMCOX
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Directions to “BOND COUNTY TREASURER ” Practice Location

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