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NPI Code Detail

MEDICARE: BOND COUNTY HEALTH DEPARTMENT

MEDICARE: BOND 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1457435463
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOND COUNTY HEALTH DEPARTMENT
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 : 618-664-1744
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 : 618-664-1744
Authorized Official
Title or Position : ADMINISTRATOR
Name : SEAN EIFERT
Credential : MA
Telephone Number : 618-664-1455
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/21/2022

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Directions to “BOND COUNTY HEALTH DEPARTMENT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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