CHADDOCK ATTACHMENT AND TRAUMA SERVICES NPI 1093594483

NPI Information

  • NPI: 1093594483
  • Provider Name: CHADDOCK ATTACHMENT AND TRAUMA SERVICES
  • Classification: Foster Care Agency - 253J00000X
  • Entity Type: Organization
  • Address: 100 W BUCHANAN ST
    CARTHAGE, IL
    ZIP 62321
  • Phone: (217) 222-0034

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NPI Details

CHADDOCK ATTACHMENT AND TRAUMA SERVICES is a foster care agency in Carthage, IL. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. CHADDOCK ATTACHMENT AND TRAUMA SERVICES NPI is 1093594483. The provider is registered as an organization entity type.

The provider's business location address is:

100 W BUCHANAN ST
CARTHAGE, IL
ZIP 62321-249
Phone: (217) 222-0034

The provider's authorized official is Kristen Patton .
The authorized official title is Director Of Finance and has the following contact phone number (217) 592-0317.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2253J00000XFoster Care AgencyYes

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
13A00-IPI-019MEDICAIDILLINOIS

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: 11/21/2025

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