Provider Demographics
NPI:1528379906
Name:COUNTY OF FULTON
Entity Type:Organization
Organization Name:COUNTY OF FULTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FULTON COUNTY TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-547-3041
Mailing Address - Street 1:100 N MAIN ST
Mailing Address - Street 2:PO BOX 111
Mailing Address - City:LEWISTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:61542-0111
Mailing Address - Country:US
Mailing Address - Phone:309-547-3041
Mailing Address - Fax:309-547-0399
Practice Address - Street 1:100 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:IL
Practice Address - Zip Code:61542-0111
Practice Address - Country:US
Practice Address - Phone:309-547-3041
Practice Address - Fax:309-547-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare