Organization · Type 2 NPI
Jefferson Street Clinic, SC
Clinic/Center · Morton, IL
NPI number
1366637258
Active
Practice location
107 E Jefferson Street
Morton, IL 61550-0180
Fax (309) 266-6322
Mailing address
107 E Jefferson St, PO Box 180
Morton, IL 61550-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Morton
About NPI 1366637258
Jefferson Street Clinic, SC's National Provider Identifier is 1366637258, issued on Sep 13, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Morton, IL. The record was last updated on Sep 13, 2007.