JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER NPI 1336623453

NPI Information

  • NPI: 1336623453
  • Provider Name: JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1010 FAIRWAY DR
    FREEPORT, IL
    ZIP 61032
  • Phone: (815) 599-6000

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NPI Details

JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Freeport, IL. JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER NPI is 1336623453. The provider is registered as an organization entity type.

The provider's business location address is:

1010 FAIRWAY DR
FREEPORT, IL
ZIP 61032-600
Phone: (815) 599-6000

The provider's authorized official is Kathryn Martinez .
The authorized official title is Vp Of Patient Services and has the following contact phone number (815) 599-7529.

The enumeration date for this NPI number is 9/25/2018 and was last updated on 9/25/2018.

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)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: 3/30/2025

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