ROSECRANCE INC NPI 1568459709

NPI Information

NPI: 1568459709
Provider Name: ROSECRANCE INC

Doing Business As: ROSECRANCE HARRISON - OUTPATIENT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3815 HARRISON AVE
OUTPATIENT
ROCKFORD, IL
ZIP 61108
Phone: (815) 391-0100
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ROSECRANCE INC is a rehabilitation and substance use disorder clinic center in Rockford, IL. ROSECRANCE INC NPI is 1568459709. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosecrance Harrison - Outpatient.

The provider's business location address is:

3815 HARRISON AVE
OUTPATIENT
ROCKFORD, IL
ZIP 61108-631
Phone: (815) 391-0100

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 10/3/2005 and was last updated on 4/26/2018.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0601	OTHER	ILLINOIS	DEPT OF HUMAN SERVICES

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

NPI Synchronization or Removal

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