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LUTHERAN SOCIAL SERVICES OF IL NPI 1275853970


NPI Information

NPI: 1275853970
Provider Name: LUTHERAN SOCIAL SERVICES OF IL
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2821 5TH ST
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 786-6400
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LUTHERAN SOCIAL SERVICES OF IL is a mental health (including community mental health center) clinic center in Rock Island, IL. LUTHERAN SOCIAL SERVICES OF IL NPI is 1275853970. The provider is registered as an organization entity type.

The provider's business location address is:

2821 5TH ST
ROCK ISLAND, IL
ZIP 61201-028
Phone: (309) 786-6400
Fax: (309) 786-1407

The provider's authorized official is Gerald E Noonan .
The authorized official title is V.p. Finance/cfo and has the following contact phone number (847) 635-4600.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 12/6/2012.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)04092ILLINOISYes

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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