TWO RIVERS OUTREACH NPI 1427594043

NPI Information

  • NPI: 1427594043
  • Provider Name: TWO RIVERS OUTREACH
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 401 W BRIDGE ST
    STREATOR, IL
    ZIP 61364
  • Phone: (815) 220-0299

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NPI Details

TWO RIVERS OUTREACH is a rehabilitation and substance use disorder clinic center in Streator, IL. TWO RIVERS OUTREACH NPI is 1427594043. The provider is registered as an organization entity type.

The provider's business location address is:

401 W BRIDGE ST
STREATOR, IL
ZIP 61364-705
Phone: (815) 220-0299

The provider's authorized official is Brian Peter Mcintyre .
The authorized official title is Business Owner and has the following contact phone number (815) 220-0299.

The enumeration date for this NPI number is 1/7/2017 and was last updated on 12/10/2020.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
2251S00000XCommunity/Behavioral HealthA85410002AILLINOISNo

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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