Provider Demographics
NPI:1164430898
Name:SCHUYLER COUNTY PUBLIC HEALTH
Entity Type:Organization
Organization Name:SCHUYLER COUNTY PUBLIC HEALTH
Other - Org Name:SCHUYLER COUNTY HEALTH DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:ESTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-322-6775
Mailing Address - Street 1:233 N CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62681-1401
Mailing Address - Country:US
Mailing Address - Phone:172-322-6775
Mailing Address - Fax:217-322-2251
Practice Address - Street 1:233 N CONGRESS ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62681-1401
Practice Address - Country:US
Practice Address - Phone:217-322-6775
Practice Address - Fax:217-322-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL330390Medicare ID - Type Unspecified