Jefferson County Comprehensive Svc Inc | |
1706 S 13th St Mount Vernon IL 62864-4932 | |
(618) 242-1610 | |
Not Available |
Full Name | Jefferson County Comprehensive Svc Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1706 S 13th St, Mount Vernon, Illinois |
Authorized Official Name and Position | Kristina Vaughan (ADMINSTRATIVE SERVICES SUPERVISOR) |
Authorized Official Contact | 6182421510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson County Comprehensive Svc Inc 16338 N Il Highway 37 Mount Vernon IL 62864-8178 Ph: (618) 242-1510 | Jefferson County Comprehensive Svc Inc 1706 S 13th St Mount Vernon IL 62864-4932 Ph: (618) 242-1610 |
NPI Number | 1730871575 |
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Provider Enumeration Date | 05/22/2023 |
Last Update Date | 05/22/2023 |
Certification Date | 05/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730871575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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