Provider Demographics
NPI:1225086697
Name:HANCOCK COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HANCOCK COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEELER
Authorized Official - Suffix:
Authorized Official - Credentials:BB, CPHA
Authorized Official - Phone:217-357-2171
Mailing Address - Street 1:671 WABASH AVE
Mailing Address - Street 2:PO BOX 357
Mailing Address - City:CARTHAGE
Mailing Address - State:IL
Mailing Address - Zip Code:62321-1443
Mailing Address - Country:US
Mailing Address - Phone:217-357-2171
Mailing Address - Fax:217-357-3562
Practice Address - Street 1:671 WABASH AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:IL
Practice Address - Zip Code:62321-1443
Practice Address - Country:US
Practice Address - Phone:217-357-2171
Practice Address - Fax:217-357-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0003432009OtherBLUE SHIELD-INSURANCE
IL996670Medicare ID - Type UnspecifiedMEDICARE PART B