VERMILION COUNTY HEALTHCARE INC. NPI 1639461338

NPI Information

NPI: 1639461338
Provider Name: VERMILION COUNTY HEALTHCARE, INC.

Former Legal Business Name: VERMILION COUNTY MENTAL HEALTH CENTER, INC.

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
715 W FAIRCHILD ST
DANVILLE, IL
ZIP 61832
Phone: (217) 446-1100
Get Directions

VERMILION COUNTY HEALTHCARE, INC. is a primary care clinic center in Danville, IL. VERMILION COUNTY HEALTHCARE, INC. NPI is 1639461338. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Vermilion County Mental Health Center, Inc..

The provider's business location address is:

715 W FAIRCHILD ST
DANVILLE, IL
ZIP 61832-795
Phone: (217) 446-1100
Fax: (217) 446-1101

The provider's authorized official is Julie Ann Holycross .
The authorized official title is Physican Assistant/ceo and has the following contact phone number (217) 446-1100.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 5/12/2011.

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	261QP2300X	Clinic/Center	Primary Care	085002684	ILLINOIS	No
2	261QP2300X	Clinic/Center	Primary Care	036103275	ILLINOIS	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	3416295686183230	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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