=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225086697
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANCOCK COUNTY HEALTH DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2006
-----------------------------------------------------
Last Update Date | 08/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 671 WABASH AVE
-----------------------------------------------------
City | CARTHAGE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62321-1443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-357-2171
-----------------------------------------------------
Fax | 217-357-3562
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 671 WABASH AVE
-----------------------------------------------------
City | CARTHAGE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62321-1443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-357-2171
-----------------------------------------------------
Fax | 217-357-3562
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. JESSICA L CROY
-----------------------------------------------------
Credential | BS, LEHP
-----------------------------------------------------
Telephone | 217-357-2171
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------