BALANCED CARE MENTAL HEALTH SERVICES NPI 1164661971

NPI Information

NPI: 1164661971
Provider Name: BALANCED CARE MENTAL HEALTH SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1945 S SPRING ST
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 492-2000
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BALANCED CARE MENTAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Springfield, IL. BALANCED CARE MENTAL HEALTH SERVICES NPI is 1164661971. The provider is registered as an organization entity type.

The provider's business location address is:

1945 S SPRING ST
SPRINGFIELD, IL
ZIP 62704-943
Phone: (217) 492-2000
Fax: (217) 492-2005

The provider's authorized official is Patrick G O'donnell .
The authorized official title is Owner and has the following contact phone number (217) 492-2000.

The enumeration date for this NPI number is 2/18/2009 and was last updated on 2/18/2009.

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

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	036108929	MEDICAID	ILLINOIS
2	L98931	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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