MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS NPI 1225282999

NPI Information

NPI: 1225282999
Provider Name: MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS

Doing Business As: MEMORIAL BEHAVIORAL HEALTH - JACKSONVILLE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
340 W STATE ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-6126
Get Directions

MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS is a mental health (including community mental health center) clinic center in Jacksonville, IL. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS NPI is 1225282999. 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
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 11/7/2008 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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		ILLINOIS	Yes

What is NPI?

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

NPI Synchronization or Removal

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