Provider Demographics
NPI:1891168837
Name:MARSHALL COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:MARSHALL COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MPH-EH, LEHP
Authorized Official - Phone:815-872-5091
Mailing Address - Street 1:319 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LACON
Mailing Address - State:IL
Mailing Address - Zip Code:61540-1221
Mailing Address - Country:US
Mailing Address - Phone:309-246-8074
Mailing Address - Fax:309-246-3787
Practice Address - Street 1:319 6TH ST
Practice Address - Street 2:
Practice Address - City:LACON
Practice Address - State:IL
Practice Address - Zip Code:61540-1221
Practice Address - Country:US
Practice Address - Phone:309-246-8074
Practice Address - Fax:309-246-3787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare