The Clayberg Fulton County Nursing Center

LBN: County Of Fulton
The Clayberg Fulton County Nursing Center is an health care organization with primary practice located at 625 East Monroe Street , Cuba IL 61427-0200. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. County Of Fulton can be contacted via phone (309) 785-5012, or through Danielson, Martha J via phone (309) 785-5012.

Contact Information

Primary practice address
625 East Monroe Street Cuba IL 61427-0200
Phone: (309) 785-5012
Fax: (309) 785-5376
Website:
Map and Directions
Authorized official contact:
Name: Danielson, Martha J LNHA
Phone: (309) 785-5012

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0014290 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0014290 Illinois

Profile Details

NPI number 1497889554
LBN Legal business name County Of Fulton
DBA Doing business as The Clayberg Fulton County Nursing Center
Authorized official Danielson, Martha J LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Nov 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497889554 NPPES
Illinois MEDICAID 370914241001

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