| Hardin Co. Office Location | |
|
147 North Main Street Elizabethtown IL 62931 | |
| (618) 285-1020 | |
| (618) 285-1021 |
| Full Name | Hardin Co. Office Location |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 147 North Main Street, Elizabethtown, Illinois |
| Authorized Official Name and Position | Laura K Cowser (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 6186522046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardin Co. Office Location 125 N Market St Golconda IL 62938-1136 Ph: (618) 287-7010 | Hardin Co. Office Location 147 North Main Street Elizabethtown IL 62931 Ph: (618) 285-1020 |
| NPI Number | 1700033479 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700033479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |