Provider Demographics
NPI:1235340951
Name:MASON COUNTY
Entity Type:Organization
Organization Name:MASON COUNTY
Other - Org Name:MASON COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:JIBBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-222-0110
Mailing Address - Street 1:1002 E. LAUREL AVE.
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:IL
Mailing Address - Zip Code:62644
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1002 E LAUREL AVE
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:IL
Practice Address - Zip Code:62644-6973
Practice Address - Country:US
Practice Address - Phone:309-543-2201
Practice Address - Fax:309-543-2063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local