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PRESENCE BEHAVIORAL HEALTH NPI 1225285596


NPI Information

NPI: 1225285596
Provider Name: PRESENCE BEHAVIORAL HEALTH

Doing Business As: PROCARE CENTERS

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
117 S 6TH AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 681-2324
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PRESENCE BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in Maywood, IL. PRESENCE BEHAVIORAL HEALTH NPI is 1225285596. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Centers.

The provider's business location address is:

117 S 6TH AVE
MAYWOOD, IL
ZIP 60153-377
Phone: (708) 681-2324
Fax: (708) 345-5496

The provider's authorized official is Kristin Kaminski .
The authorized official title is Manager, General Accounting and has the following contact phone number (708) 338-3806.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 6/7/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1619911MEDICARE PINILLINOIS
21616027OTHERILLINOISBCBS
3204281MEDICARE PINILLINOIS
4619910MEDICARE PINILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.