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TREATMENT ALTERNATIVES FOR SAFE COMMUNILTIES NPI 1114385507


NPI Information

NPI: 1114385507
Provider Name: TREATMENT ALTERNATIVES FOR SAFE COMMUNILTIES

Doing Business As: TASC, INC.

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 14D0425500

Address:
218 W MAIN ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 277-0410
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TREATMENT ALTERNATIVES FOR SAFE COMMUNILTIES is a rehabilitation and substance use disorder clinic center in Belleville, IL. TREATMENT ALTERNATIVES FOR SAFE COMMUNILTIES NPI is 1114385507. The provider is registered as an organization entity type.
The provider Is Doing Business As Tasc, Inc..

The provider's business location address is:

218 W MAIN ST
BELLEVILLE, IL
ZIP 62220-504
Phone: (618) 277-0410
Fax: (618) 277-0417

The provider's authorized official is Roy Fesmire .
The authorized official title is Vice President And Cfo and has the following contact phone number (312) 787-0208.

The CLIA number assigned to this NPI record is 14D0425500 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 11/28/2016.


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
1251S00000XCommunity/Behavioral HealthA-0637-0009-AILLINOISNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-0637-0009-AILLINOISYes

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
1A-0637-0009-AMEDICAIDILLINOIS

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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