HERITAGE BEHAVIORAL HEALTH CENTER INC. NPI 1104609544

NPI Information

NPI: 1104609544
Provider Name: HERITAGE BEHAVIORAL HEALTH CENTER INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
243 W CERRO GORDO ST
DECATUR, IL
ZIP 62522
Phone: (217) 422-3940
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HERITAGE BEHAVIORAL HEALTH CENTER INC. is a primary care clinic center in Decatur, IL. HERITAGE BEHAVIORAL HEALTH CENTER INC. NPI is 1104609544. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

243 W CERRO GORDO ST
DECATUR, IL
ZIP 62522-101
Phone: (217) 422-3940

The provider's authorized official is Mary Garrison .
The authorized official title is Ceo and has the following contact phone number (217) 362-6262.

The enumeration date for this NPI number is 8/17/2023 and was last updated on 8/17/2023.

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
1	363LP2300X	Nurse Practitioner	Primary Care			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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