CHESTNUT HEALTH SYSTEMS INC NPI 1366431686

NPI Information

NPI: 1366431686
Provider Name: CHESTNUT HEALTH SYSTEMS INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 827-6026
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CHESTNUT HEALTH SYSTEMS INC is a rehabilitation and substance use disorder clinic center in Bloomington, IL. CHESTNUT HEALTH SYSTEMS INC NPI is 1366431686. The provider is registered as an organization entity type.

The provider's business location address is:

1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701-429
Phone: (309) 827-6026
Fax: (309) 820-1386

The provider's authorized official is Megan Marie Taylor .
The authorized official title is Managed Care Supervisor and has the following contact phone number (888) 924-3786.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 3/16/2023.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04023	MEDICAID	ILLINOIS
2	C/A-0126-0007-A	MEDICAID	ILLINOIS

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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