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MIDWAY MEDICAL CENTER NPI 1316545189


NPI Information

NPI: 1316545189
Provider Name: MIDWAY MEDICAL CENTER

Doing Business As: MIDWAY TURNING POINT CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2 W 103RD ST
CHICAGO, IL
ZIP 60628
Phone: (313) 489-4715
Get Directions

MIDWAY MEDICAL CENTER is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MIDWAY MEDICAL CENTER NPI is 1316545189. The provider is registered as an organization entity type.
The provider Is Doing Business As Midway Turning Point Center.

The provider's business location address is:

2 W 103RD ST
CHICAGO, IL
ZIP 60628-619
Phone: (313) 489-4715

The provider's authorized official is Eunice Walker .
The authorized official title is Director and has the following contact phone number (312) 489-4715.

The enumeration date for this NPI number is 10/14/2020 and was last updated on 10/21/2022.


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
1251B00000XCase ManagementNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QP2300XClinic/CenterPrimary CareNo
5291U00000XClinical Medical LaboratoryNo
6251S00000XCommunity/Behavioral HealthYes

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
16676700MEDICAIDILLINOIS

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

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