CENTERSTONE OF ILLINOIS INC NPI 1811353535

NPI Information

NPI: 1811353535
Provider Name: CENTERSTONE OF ILLINOIS, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
118 KRAUSE DR
JERSEYVILLE, IL
ZIP 62052
Phone: (618) 937-6483
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CENTERSTONE OF ILLINOIS, INC is a mental health (including community mental health center) clinic center in Jerseyville, IL. CENTERSTONE OF ILLINOIS, INC NPI is 1811353535. The provider is registered as an organization entity type.

The provider's business location address is:

118 KRAUSE DR
JERSEYVILLE, IL
ZIP 62052-610
Phone: (618) 937-6483

The provider's authorized official is Stacy Phillips .
The authorized official title is Accounts Receiveable Dept Manager and has the following contact phone number (618) 937-6483.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 9/11/2020.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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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