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CHESTNUT HEALTH SYSTEMS INC NPI 1194227827


NPI Information

NPI: 1194227827
Provider Name: CHESTNUT HEALTH SYSTEMS, INC

Doing Business As: CHESTNUT HEALTH SYSTEMS, INC

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 826-6026
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CHESTNUT HEALTH SYSTEMS, INC is a mental health (including community mental health center) clinic center in Bloomington, IL. CHESTNUT HEALTH SYSTEMS, INC NPI is 1194227827. The provider is registered as an organization entity type.
The provider Is Doing Business As Chestnut Health Systems, Inc.

The provider's business location address is:

1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701-429
Phone: (309) 826-6026

The provider's authorized official is Melissa Lynn Cooper .
The authorized official title is Managed Care Supervisor and has the following contact phone number (309) 820-3535.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 7/7/2021.


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)04023ILLINOISYes
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo

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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