Clay County Hospital

Organization Active NPI Pharmacy · Flora, IL

NPI 1396188264 · NPPES record last updated Sep 17, 2021

Key facts

NPI
1396188264
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
054.017959 (IL)
Legal business name
CLAY COUNTY HOSPITAL
Practice address
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone
(618) 662-2131
Fax
(618) 662-1482
NPI assigned
Apr 10, 2013
Organization subpart
No

Authorized official

Name
Carrie Miller
Title
Chief Nursing Officer
Phone
(618) 662-2131

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Clay County Hospital (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054.017959 IL Yes

Addresses

Primary practice location

911 Stacey Burk Dr
Flora, IL 62839-3241

Mailing address

PO Box 280
Flora, IL 62839-0280
Phone (618) 662-2131

Other providers in Flora, IL

All providers in Flora, IL · Pharmacy in Illinois

Sources for this page

Verify at the official NPI Registry.