ONE HOPE UNITED NPI 1841539640

NPI Information

NPI: 1841539640
Provider Name: ONE HOPE UNITED

Former Legal Business Name: ONE HOPE UNITED - HUDELSON REGION

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4110 N WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-8266
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ONE HOPE UNITED is a mental health (including community mental health center) clinic center in Mount Vernon, IL. ONE HOPE UNITED NPI is 1841539640. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is One Hope United - Hudelson Region.

The provider's business location address is:

4110 N WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864-295
Phone: (618) 242-8266

The provider's authorized official is Elizabeth Hopkins .
The authorized official title is Cqir Medicaid Coordinator and has the following contact phone number (847) 245-6556.

The enumeration date for this NPI number is 2/14/2013 and was last updated on 9/25/2017.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
2	251S00000X	Community/Behavioral Health				No

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	2A00IPI004	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: 4/28/2024

NPI Synchronization or Removal

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