MACON RESOURCES INC. NPI 1457044919

NPI Information

NPI: 1457044919
Provider Name: MACON RESOURCES, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2121 HUBBARD AVE
DECATUR, IL
ZIP 62526
Phone: (217) 872-5380
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MACON RESOURCES, INC. is an adult mental health clinic center in Decatur, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MACON RESOURCES, INC. NPI is 1457044919. The provider is registered as an organization entity type.

The provider's business location address is:

2121 HUBBARD AVE
DECATUR, IL
ZIP 62526-876
Phone: (217) 872-5380

The provider's authorized official is Priscilla Maxwell .
The authorized official title is Director Of Behavioral Health and has the following contact phone number (217) 872-5380.

The enumeration date for this NPI number is 5/31/2023 and was last updated on 5/31/2023.

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	261QM0850X	Clinic/Center	Adult Mental Health			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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