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County Of Logan
Public Health or Welfare Agency in Lincoln, Illinois
NPI 1790785186

County Of Logan is a Public Health or Welfare Agency based in Lincoln, IL. County Of Logan practices in Lincoln, IL. The NPI Number for County Of Logan is 1790785186 and holds a License No. IL1001866 (Illinois).

The current practice location address for County Of Logan is 109 3Rd St, Lincoln, IL and can be reached out via phone at 217-735-2317 and via fax at 217-732-6943.

Location: 109 3Rd St, Lincoln, IL, 62656-0508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790785186
Provider Name
County Of Logan
Credential
Provider Entity Type
Organization
Address
109 3Rd St, Lincoln, IL, 62656-0508
Phone Number
217-735-2317
Fax Number
217-732-6943
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600002138 01 IL RAILROAD MEDICARE PROVIDE
382030 01 IL MEDICARE PART B PROVIDER
institution
Provider Business Practice Location Address Details
Address
109 3Rd St
City
Lincoln
State
Illinois
Zip
62656-0508
Phone Number
217-735-2317
Fax Number
217-732-6943
person
Provider Business Mailing Address Details
Address
109 3Rd St
City
Lincoln
State
Illinois
Zip
62656-0508
Phone Number
217-735-2317
Fax Number
217-732-6943
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
IL1001866 (Illinois)
Definition
Definition to come...
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