Provider Demographics
NPI:1659785038
Name:COUNTY OF CALHOUN
Entity Type:Organization
Organization Name:COUNTY OF CALHOUN
Other - Org Name:CALHOUN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEICHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-576-2428
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:210 FRENCH STREET
Mailing Address - City:HARDIN
Mailing Address - State:IL
Mailing Address - Zip Code:62047-0158
Mailing Address - Country:US
Mailing Address - Phone:618-576-2428
Mailing Address - Fax:
Practice Address - Street 1:210 FRENCH STREET
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:IL
Practice Address - Zip Code:62047-0158
Practice Address - Country:US
Practice Address - Phone:618-576-2428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9823OtherBLUE CROSS BLUE SHIELD