NPI 1336345578
County of Clay
Practice location
- Address
- 911 Stacey Burk Dr, Flora, IL 62839-3241
- Phone
- (618) 662-2131
- Fax
- (618) 662-1482
- Mailing address
- PO Box 280, Flora, IL 62839-0280
Authorised official
- Name
- Carrie Miller
- Title
- Chief Nursing Officer
- Phone
- (618) 662-2131
Registered specialties
Medicare Defined Swing Bed Hospital Unit
Primary
Registry record
- NPI
- 1336345578
- Entity type
- Organization
- NPI issued
- 25 Jun 2007
- Record last updated
- 17 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.