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1831831098 NPI number — MENTAL HEALTH CENTERS OF WESTERN ILLINIOS

NPI Number: 1831831098
Health Care Provider/Practitioner: MENTAL HEALTH CENTERS OF WESTERN ILLINIOS

Information about “1831831098” NPI (MENTAL HEALTH CENTERS OF WESTERN ILLINIOS) exists in 1831831098 in HTML format HTML  |  1831831098 in plain Text format TXT  |  1831831098 in PDF (Portable Document Format) PDF  |  1831831098 in an XML format XML  formats.

NPI Number : 1831831098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831831098",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MENTAL HEALTH CENTERS OF WESTERN ILLINIOS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "700 SE CROSS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MT STERLING",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62353-1561",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-773-3325",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1260 W WASHINGTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSFIELD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62363-1655",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-773-3325",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2022",
    "LastUpdateDate": "04/08/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOWEN",
    "AuthorizedOfficialFirstName": "JANELLE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF BILLING",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "217-773-3325",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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