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MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS NPI 1013401322


NPI Information

NPI: 1013401322
Provider Name: MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS

Doing Business As: MEMORIAL BEHAVIORAL HEALTH - JACKSONVILLE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
340 W STATE ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-6126
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MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS is a rehabilitation and substance use disorder clinic center in Jacksonville, IL. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS NPI is 1013401322. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Behavioral Health - Jacksonville.

The provider's business location address is:

340 W STATE ST
JACKSONVILLE, IL
ZIP 62650-061
Phone: (217) 245-6126
Fax: (217) 245-4296

The provider's authorized official is Ann Bowling .
The authorized official title is Director and has the following contact phone number (217) 588-2626.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 10/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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