Provider Demographics
NPI:1114959889
Name:COUNTY OF ADAMS
Entity Type:Organization
Organization Name:COUNTY OF ADAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-222-8440
Mailing Address - Street 1:330 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-2700
Mailing Address - Country:US
Mailing Address - Phone:217-222-8440
Mailing Address - Fax:
Practice Address - Street 1:330 VERMONT ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-2700
Practice Address - Country:US
Practice Address - Phone:217-222-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF ADAMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-06
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL600000318OtherRAILROAD MEDICARE
IL600000318OtherRAILROAD MEDICARE
IL600000318OtherRAILROAD MEDICARE