MCHENRY COUNTY YOUTH SERVICE BUREAU NPI 1639123037

NPI Information

NPI: 1639123037
Provider Name: MCHENRY COUNTY YOUTH SERVICE BUREAU
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 14D1085284

Address:
101 S JEFFERSON ST
WOODSTOCK, IL
ZIP 60098
Phone: (815) 338-7360
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MCHENRY COUNTY YOUTH SERVICE BUREAU is a public health or welfare in Woodstock, IL. MCHENRY COUNTY YOUTH SERVICE BUREAU NPI is 1639123037. The provider is registered as an organization entity type.

The provider's business location address is:

101 S JEFFERSON ST
WOODSTOCK, IL
ZIP 60098-437
Phone: (815) 338-7360
Fax: (815) 337-5510

The provider's authorized official is Susan H Krause .
The authorized official title is Executive Director and has the following contact phone number (815) 338-7360.

The CLIA number assigned to this NPI record is 14D1085284 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/22/2020.

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	251K00000X	Public Health or Welfare		06524009	ILLINOIS	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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