Moultrie Co

LBN: Moultrie Co
Moultrie Co is an health care organization with primary practice located at 202 S Main St , Sullivan IL 61951-1958. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Moultrie Co can be contacted via phone (217) 728-4114, or through Hogan, Angela L. via phone (217) 728-4114.

Contact Information

Primary practice address
202 S Main St Sullivan IL 61951-1958
Phone: (217) 728-4114
Fax: (217) 728-2650
Website:
Map and Directions
Authorized official contact:
Name: Hogan, Angela L. RN MSPH
Phone: (217) 728-4114

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1538213285
LBN Legal business name Moultrie Co
DBA Doing business as
Authorized official Hogan, Angela L. RN MSPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 8th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538213285 NPPES
Illinois MEDICAID 240000139001

Popular Providers