Jefferson County Comprehensive

LBN: Jefferson County Comprehensive
Jefferson County Comprehensive is an health care organization with primary practice located at 16342 N Il Hwy 37 , Mt Vernon IL 62864. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Jefferson County Comprehensive can be contacted via phone (618) 242-1510, or through Boehmer, Dan via phone (618) 242-1510.

Contact Information

Primary practice address
16342 N Il Hwy 37 Mt Vernon IL 62864
Phone: (618) 242-1510
Fax: (618) 242-0958
Website:
Map and Directions
Authorized official contact:
Name: Boehmer, Dan C.E.O.
Phone: (618) 242-1510

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1972533990
LBN Legal business name Jefferson County Comprehensive
DBA Doing business as
Authorized official Boehmer, Dan C.E.O.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated May 9th, 2022 - about 2 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 1972533990 NPPES
Other 372631 HEALTHLINK
Other 0004115177 HEALTHLINK
Other 497770000 HEALTHLINK

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