Healthcare Provider Details

I. General information

NPI: 1356460125
Provider Name (Legal Business Name): SCHUYLER COUNTY MENTAL HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S LIBERTY ST
RUSHVILLE IL
62681-1419
US

IV. Provider business mailing address

127 S LIBERTY ST
RUSHVILLE IL
62681-1419
US

V. Phone/Fax

Practice location:
  • Phone: 217-322-4373
  • Fax: 217-322-2138
Mailing address:
  • Phone: 217-322-4373
  • Fax: 217-322-2138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. REGGIE STAMBAUGH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 217-322-4373