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ROSECRANCE INC NPI 1548247349


NPI Information

NPI: 1548247349
Provider Name: ROSECRANCE INC

Doing Business As: ROSECRANCE HARRISON - MEN'S

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3815 HARRISON AVE
MEN'S
ROCKFORD, IL
ZIP 61108
Phone: (815) 391-1000
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ROSECRANCE INC is a substance abuse rehabilitation facility in Rockford, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ROSECRANCE INC NPI is 1548247349. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosecrance Harrison - Men's.

The provider's business location address is:

3815 HARRISON AVE
MEN'S
ROCKFORD, IL
ZIP 61108-631
Phone: (815) 391-1000
Fax: (815) 484-8640

The provider's authorized official is Philip W Eaton .
The authorized official title is President Ceo and has the following contact phone number (815) 391-0100.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 11/25/2015.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
1=========011MEDICAIDILLINOIS

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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