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Fayette County
Community Based Hospice Care Agency in Vandalia, Illinois
NPI 1174523914

Fayette County is a Community Based Hospice Care Agency based in Vandalia, IL. Fayette County practices in Vandalia, IL. The NPI Number for Fayette County is 1174523914 and holds a License No. 1625062 (Illinois).

The current practice location address for Fayette County is 416 W Edwards St, Vandalia, IL and can be reached out via phone at 618-283-7262 and via fax at 618-283-5039.

Location: 416 W Edwards St, Vandalia, IL, 62471-2706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174523914
Provider Name
Fayette County
Credential
Provider Entity Type
Organization
Address
416 W Edwards St, Vandalia, IL, 62471-2706
Phone Number
618-283-7262
Fax Number
618-283-5039
Provider Enumeration Date
07/22/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9819 01 IL BC/BS
136947 01 IL HEALTH LINK
50364 01 IL BC/BS HOSPICE
institution
Provider Business Practice Location Address Details
Address
416 W Edwards St
City
Vandalia
State
Illinois
Zip
62471-2706
Phone Number
618-283-7262
Fax Number
618-283-5039
person
Provider Business Mailing Address Details
Address
416 W Edwards St
City
Vandalia
State
Illinois
Zip
62471-2706
Phone Number
618-283-7262
Fax Number
618-283-5039
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1863108 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
1625062 (Illinois)
Definition
Definition to come...
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