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COUNTY OF MCLEAN NPI 1023675634


NPI Information

NPI: 1023675634
Provider Name: COUNTY OF MCLEAN

Doing Business As: MCLEAN COUNTY FUSE PROGRAM

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
200 W FRONT ST STE 400E
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 434-6510
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COUNTY OF MCLEAN is a mental health (including community mental health center) clinic center in Bloomington, IL. COUNTY OF MCLEAN NPI is 1023675634. The provider is registered as an organization entity type.
The provider Is Doing Business As Mclean County Fuse Program.

The provider's business location address is:

200 W FRONT ST STE 400E
BLOOMINGTON, IL
ZIP 61701-048
Phone: (309) 434-6510
Fax: (309) 888-5111

The provider's authorized official is Trisha P Malott .
The authorized official title is Bhcc Supervisor and has the following contact phone number (309) 434-6510.

The enumeration date for this NPI number is 5/20/2019 and was last updated on 8/31/2021.


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

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: 11/14/2023

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