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CHADDOCK NPI 1033157748


NPI Information

NPI: 1033157748
Provider Name: CHADDOCK
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
205 S 24TH ST
QUINCY, IL
ZIP 62301
Phone: (217) 222-0034
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CHADDOCK is a community based residential treatment facility mental illness in Quincy, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CHADDOCK NPI is 1033157748. The provider is registered as an organization entity type.

The provider's business location address is:

205 S 24TH ST
QUINCY, IL
ZIP 62301-446
Phone: (217) 222-0034
Fax: (217) 222-3865

The provider's authorized official is Kristen Patton .
The authorized official title is Director Of Finance and has the following contact phone number (217) 592-0317.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 6/22/2023.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness308658-03ILLINOISNo
2320800000XCommunity Based Residential Treatment Facility, Mental Illness004049-10ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.