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HUMAN SERVICE CENTER NPI 1225415144


NPI Information

NPI: 1225415144
Provider Name: HUMAN SERVICE CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1200 HAMILTON BLVD
PEORIA, IL
ZIP 61606
Phone: (309) 671-8005
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HUMAN SERVICE CENTER is a rehabilitation and substance use disorder clinic center in Peoria, IL. HUMAN SERVICE CENTER NPI is 1225415144. The provider is registered as an organization entity type.

The provider's business location address is:

1200 HAMILTON BLVD
PEORIA, IL
ZIP 61606-525
Phone: (309) 671-8005

The provider's authorized official is Ann Campen .
The authorized official title is Cfo and has the following contact phone number (309) 671-8025.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 10/27/2021.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-0324-0016-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
1003240016MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.