Cathy Hayden

Individual provider Active NPI Community Health Worker · Martinsville, IL

NPI 1811350697 · NPPES record last updated Mar 30, 2016

Key facts

NPI
1811350697
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
997 North York Street
Martinsville, IL 62442-0266
Phone
(217) 382-4207
Fax
(217) 382-4810
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clark Past Accepting new patients
County of Clark Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

997 North York Street
Martinsville, IL 62442-0266

Mailing address

PO Box 266
997 North York Street
Martinsville, IL 62442-0266
Phone (217) 382-4207

Other providers in Martinsville, IL

All providers in Martinsville, IL · Community Health Worker in Illinois

Sources for this page

Verify at the official NPI Registry.