Organization · Type 2 NPI

Fulton County Health Department

State or Local Public Health Clinic/Center · Canton, IL

NPI number 1245216241 Active

Practice location

700 East Oak Street
Canton, IL 61520

Fax (309) 647-9545

Specialties and licenses

Taxonomy	Code	License
State or Local Public Health Clinic/Center	261QP0905X	None listed
State or Local Public Health Clinic/Center Primary	261QP0905X	None listed

State or Local Public Health Clinic/Center: Definition to come...

NPI record

NPI: 1245216241
Entity type: Organization (Type 2)
Issued: Dec 21, 2005
Last updated: Apr 22, 2015
Status: Active
Subpart: Yes of Fulton County

Other names

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Fulton County Health Department · doing business as

Authorized official

Mr. Damon Scott Roberson
Administrator
(309) 647-1134

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245216241

Fulton County Health Department's National Provider Identifier is 1245216241, issued on Dec 21, 2005. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Canton, IL. The record was last updated on Apr 22, 2015.