COORDINATED YOUTH AND HUMAN SERVICES NPI 1639581937

NPI Information

  • NPI: 1639581937
  • Provider Name: COORDINATED YOUTH AND HUMAN SERVICES
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • CLIA Number: 14D0666602
  • Address: 2016 MADISON AVE
    GRANITE CITY, IL
    ZIP 62040
  • Phone: (618) 876-2383

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NPI Details

COORDINATED YOUTH AND HUMAN SERVICES is a community health clinic center in Granite City, IL. COORDINATED YOUTH AND HUMAN SERVICES NPI is 1639581937. The provider is registered as an organization entity type.

The provider's business location address is:

2016 MADISON AVE
GRANITE CITY, IL
ZIP 62040-657
Phone: (618) 876-2383
Fax: (618) 876-4952

The provider's authorized official is Bobbie Smith .
The authorized official title is Executive Director and has the following contact phone number (618) 876-2383.

The CLIA number assigned to this NPI record is 14D0666602 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 11/18/2021.

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
1261QP2300XClinic/CenterPrimary CareNo
2251B00000XCase ManagementNo
3261QC1500XClinic/CenterCommunity HealthYes

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: 11/21/2025

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