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NEXUS FAMILY HEALING NPI 1780938746


NPI Information

NPI: 1780938746
Provider Name: NEXUS FAMILY HEALING

Other Name: NEXUS-ONARGA FAMILY HEALING

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
109 N POPLAR
ONARGA, IL
ZIP 60955
Phone: (815) 268-4001
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NEXUS FAMILY HEALING is a mental health (including community mental health center) clinic center in Onarga, IL. NEXUS FAMILY HEALING NPI is 1780938746. The provider is registered as an organization entity type.
The provider Other Name Is Nexus-onarga Family Healing.

The provider's business location address is:

109 N POPLAR
ONARGA, IL
ZIP 60955-107
Phone: (815) 268-4001
Fax: (815) 268-7977

The provider's authorized official is Jason Clark Dunning .
The authorized official title is Director Of Financial Planning and has the following contact phone number (763) 551-8664.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 8/5/2020.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children209700-07ILLINOISNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
13B00-IPI-007MEDICAIDILLINOIS

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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