Provider Demographics
NPI:1558520080
Name:COUNTY OF MERCER
Entity Type:Organization
Organization Name:COUNTY OF MERCER
Other - Org Name:MERCER COUNTY PROBATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-582-7099
Mailing Address - Street 1:100 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:IL
Mailing Address - Zip Code:61231-1948
Mailing Address - Country:US
Mailing Address - Phone:309-582-5169
Mailing Address - Fax:309-582-3028
Practice Address - Street 1:100 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:IL
Practice Address - Zip Code:61231-1948
Practice Address - Country:US
Practice Address - Phone:309-582-5169
Practice Address - Fax:309-582-3028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management