PRAIRIE CENTER HEALTH SYSTEMS (NPI# 1154708923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154708923 |
| Entity Type | Organization |
| Organization Name | PRAIRIE CENTER HEALTH SYSTEMS |
| Practice Address |
1222 E Voorhees St Danville IL 61834-6249 |
| Mailing Address |
718 W Killarney St Urbana IL 61801-1015 |
| Practice Telephone | 2174774500 |
| Practice Fax Number | 2174436613 |
| Mailing Telephone | (217) 328-4500 |
| Mailing Fax Number | 2172391129 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | GAIL RANEY (CEO) |
| Authorized Official Telephone | 2176933021 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAIRIE CENTER HEALTH SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0606-0007-A | IL | Ambulatory Health Care Facilities |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A06060007A | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 006060007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396299665 | Prairie Center Health Systems | Substance Abuse Rehabilitation Facility | 122 W Hill St, Champaign, IL 61820-3519 | 2016-08-04 |
| Street Address |
1222 E VOORHEES ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61834-6249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275041758 | Carol Bradford | Social Worker | 1222 E Voorhees St, Danville, IL 61834-6249 | 2018-01-18 |
| 1699283218 | Amy Cameron | Social Worker | 1222 E Voorhees St, Danville, IL 61834-6249 | 2018-01-17 |
| 1114431418 | Rosecrance, Inc. | Clinic/Center | 1222 E Voorhees St, Danville, IL 61834-6249 | 2017-11-22 |
| 1871007385 | Rosecrance, Inc. | Clinic/Center | 1222 E Voorhees St, Danville, IL 61834-6249 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093001711 | Heather Marie Hayworth | Speech-Language Pathologist | 15009 Catlin Tilton Rd, Danville, IL 61834 | 2011-06-21 |
| 1841374113 | Ronald Lewis Eltzeroth | Social Worker | 2000 East Main Street, Danville, IL 61834-2233 | 2006-10-24 |
| 1316963572 | Ruth A Woroch | Nurse Practitioner | 1901 E Voorhees St, Suite 1159, Danville, IL 61834-4509 | 2006-07-14 |
| 1669756144 | Robert Allen Carte | Nurse Practitioner | 1901 E Voorhees St, Ms 640, Danville, IL 61834-4509 | 2011-10-03 |
| 1922197383 | County of Vermilion | Skilled Nursing Facility | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2006-10-12 |
| 1336763358 | Burgandy D Henderson | Speech-Language Pathologist | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2020-06-05 |
| 1215455027 | Jan Clarence Gutierrez Dimla | Physical Therapist | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2017-08-31 |
| 1407093594 | Jennifer Salazar Pido | Physical Therapist | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2009-01-12 |
| 1487830980 | George Anne Hume | Social Worker | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2008-01-14 |
| 1770639007 | Stefanie Lynn Ahlbrand | Speech-Language Pathologist | 15009 Catlin Tilton Rd, Danville, IL 61834-5176 | 2007-01-27 |
| Find all providers in zip 61834 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040871 | National Treatment Prevention and Education Center | Counselor | 6452 Alum Springs Rd, Danville, KY 40422-9054 | 2020-03-28 |
| 1508336991 | Ashley Brooke Ganem | Counselor | 4327 Quail Run Ln, Danville, CA 94506-5850 | 2018-11-28 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1134487077 | Elden Verlin Chalmers | Counselor | 2050 Diablo Rd Apt A, Danville, CA 94506-2021 | 2012-04-29 |
| 1063789188 | Rhonda Muriel Beavers-chandler | Counselor | 203 Withers Cir, Danville, VA 24541-6327 | 2011-11-17 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| 1063649556 | Olav Hartvig Christensen | Counselor | 1009 Kimber St, Danville, IL 61832-4159 | 2009-06-11 |
| 1215057849 | Tawna Kay Howard | Counselor | 120 N Vermilion St, Danville, IL 61832-4709 | 2007-03-29 |
| 1568458933 | Galen E Diehl | Counselor | 159 Deer Run Rd, Danville, VA 24540-2863 | 2005-09-21 |
| 1437769205 | Alexis K Blackwell | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2020-08-05 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.