County Of Fulton
Nursing Facility/Intermediate Care Facility in Cuba, IL. Organization (NPI-2).
NPI number1497889554
StatusActive
Last updated in NPPESNov 2, 2012
Details
- NPI
- 1497889554
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Fulton
- Organization subpart
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Nov 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0014290 | IL | Yes |
| 314000000X | Skilled Nursing Facility | 0014290 | IL |
Other names
- The Clayberg Fulton County Nursing Center (Doing Business As)
Practice location
625 East Monroe StreetCuba, IL 61427-0200
Phone 309-785-5012 · Fax 309-785-5376
Mailing address
Po Box 200625 East Monroe Street
Cuba, IL 61427-0200
Phone 309-785-5012 · Fax 309-785-5376
Authorized official
Martha J Danielson
Administrator
3097855012
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.