CASS COUNTY MENTAL HEALTH NPI 1669019212

NPI Information

NPI: 1669019212
Provider Name: CASS COUNTY MENTAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D2092171

Address:
60 E CENTRAL PARK PLZ
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 800-6622
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CASS COUNTY MENTAL HEALTH is a mental health (including community mental health center) clinic center in Jacksonville, IL. CASS COUNTY MENTAL HEALTH NPI is 1669019212. The provider is registered as an organization entity type.

The provider's business location address is:

60 E CENTRAL PARK PLZ
JACKSONVILLE, IL
ZIP 62650-071
Phone: (217) 800-6622

The provider's authorized official is Amanda Bechard .
The authorized official title is Billing And Claims Specialist and has the following contact phone number (217) 323-2980.

The CLIA number assigned to this NPI record is 14D2092171 - other - comm mental health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2019 and was last updated on 3/10/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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