Provider Demographics
NPI:1407039761
Name:COUNTY OF COLES
Entity type:Organization
Organization Name:COUNTY OF COLES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARTH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:217-348-0530
Mailing Address - Street 1:753 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:IL
Mailing Address - Zip Code:61920-7474
Mailing Address - Country:US
Mailing Address - Phone:217-348-0530
Mailing Address - Fax:217-348-5321
Practice Address - Street 1:753 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:IL
Practice Address - Zip Code:61920-7474
Practice Address - Country:US
Practice Address - Phone:217-348-0530
Practice Address - Fax:217-348-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare