HUMAN SERVICE CENTER NPI 1881630689

NPI Information

NPI: 1881630689
Provider Name: HUMAN SERVICE CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
228 NE JEFFERSON
PEORIA, IL
ZIP 61603
Phone: (309) 671-8000
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HUMAN SERVICE CENTER is a mental health (including community mental health center) clinic center in Peoria, IL. HUMAN SERVICE CENTER NPI is 1881630689. The provider is registered as an organization entity type.

The provider's business location address is:

228 NE JEFFERSON
PEORIA, IL
ZIP 61603
Phone: (309) 671-8000
Fax: (309) 671-4695

The provider's authorized official is Michael Kennedy .
The authorized official title is President/ceo and has the following contact phone number (309) 671-8005.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 12/12/2017.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		ILLINOIS	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		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	036060238	MEDICAID	ILLINOIS
2	036088236	MEDICAID	ILLINOIS
3	036094197	MEDICAID	ILLINOIS
4	580	OTHER	ILLINOIS	BCBS

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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