MEDICARE: MONTGOMERY COUNTY HEALTH DEPARTMENT

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396058723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTGOMERY COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	11191 ILLINOIS ROUTE 185
Second Line	:
City	:	HILLSBORO
State	:	IL
Zip	:	62049-2664
Country	:	US
Telephone Number	:	217-532-2001
Fax Number	:	217-532-6361

Provider Business Practice Location Address
First Line	:	317 W UNION AVE
Second Line	:
City	:	LITCHFIELD
State	:	IL
Zip	:	62056-1932
Country	:	US
Telephone Number	:	217-532-2001
Fax Number	:	217-532-6361

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. HUGH SATTERLEE
Credential	:	CPA
Telephone Number	:	217-532-2001

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	05/01/2020

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Directions to “MONTGOMERY COUNTY HEALTH DEPARTMENT ” Practice Location

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