Ford-Iroquois Public Health Dept
Organization Active NPI Home Health Agency · Watseka, IL
NPI 1457358285 · NPPES record last updated Jan 10, 2013
Key facts
- NPI
- 1457358285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1001528 (IL)
- Legal business name
- FORD-IROQUOIS PUBLIC HEALTH DEPT
- Practice address
- 114 N 3Rd St
Watseka, IL 60970-1302 - Phone
- (815) 432-2483
- Fax
- (815) 432-2198
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cary Elizabeth Hagen
- Title
- Financial Aid Coordinator
- Phone
- (815) 432-2483
National Provider Directory
Locations
114 N 3rd St
Watseka, IL 60970
Phone (815) 432-2483
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 1001528 | IL | |
| Home Health Agency | 251E00000X | 1001528 | IL | Yes |
| Nursing Care Agency | 251J00000X | 1001528 | IL | |
| Public Health or Welfare Agency | 251K00000X | 1001528 | IL |
Addresses
Primary practice location
114 N 3Rd St
Watseka, IL 60970-1302
Mailing address
114 N 3Rd St
Watseka, IL 60970-1302
Phone (815) 432-2483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690333015002 | Medicaid | IL | |
| 9622 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Watseka, IL
- Jill Erickson
- Kristen Renee Esquivel
- Terri Fanning
- Heather Fletcher
- Angelita Fontanilla
- Jolene A Foster
- Shannon Jo Francis
- Abby K Frye
- Sherri Funk
- Gailey Eye Clinic, LTD
All providers in Watseka, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.