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CENTERSTONE OF ILLINOIS INC NPI 1982269601


NPI Information

NPI: 1982269601
Provider Name: CENTERSTONE OF ILLINOIS, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
202 S BENTLEY ST
MARION, IL
ZIP 62959
Phone: (855) 608-3560
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CENTERSTONE OF ILLINOIS, INC is a rehabilitation and substance use disorder clinic center in Marion, IL. CENTERSTONE OF ILLINOIS, INC NPI is 1982269601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

202 S BENTLEY ST
MARION, IL
ZIP 62959
Phone: (855) 608-3560
Fax: (618) 997-0489

The provider's authorized official is Stacy D Phillips .
The authorized official title is Revenue Cycle Department Manager and has the following contact phone number (618) 937-6483.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM2800XClinic/CenterMethadoneNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.