| Montgomery County Health Department | |
|
11191 Illinois Route 185 Hillsboro IL 62049-2664 | |
| (217) 532-2001 | |
| (217) 532-6361 |
| Full Name | Montgomery County Health Department |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11191 Illinois Route 185, Hillsboro, Illinois |
| Authorized Official Name and Position | Hugh Satterlee (ADMINISTRATOR) |
| Authorized Official Contact | 2175322001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery County Health Department 11191 Illinois Route 185 Hillsboro IL 62049-2664 Ph: (217) 532-2001 | Montgomery County Health Department 11191 Illinois Route 185 Hillsboro IL 62049-2664 Ph: (217) 532-2001 |
| NPI Number | 1548393440 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 05/01/2020 |
| Certification Date | 05/01/2020 |
| Medicare PECOS PAC ID | 8426010547 |
|---|---|
| Medicare Enrollment ID | O20041101000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548393440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jayanthi R Sarma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972615029 PECOS PAC ID: 8628037918 Enrollment ID: I20041005000155 |
| Provider Name | Jennifer S Thery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730509159 PECOS PAC ID: 3476777566 Enrollment ID: I20140611000511 |
| Provider Name | Kimberley A Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114290 PECOS PAC ID: 1052615325 Enrollment ID: I20160205002011 |