CHESTNUT HEALTH SYSTEMS, INC (NPI# 1326417080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326417080 |
| Entity Type | Organization |
| Organization Name | CHESTNUT HEALTH SYSTEMS, INC |
| Other Organization Name | CHESTNUT FAMILY HEALTH CENTER GRANITE CITY |
| Practice Address |
50 Northgate Industrial Dr Granite City IL 62040-6805 |
| Mailing Address |
1003 Martin Luther King Dr Bloomington IL 61701-1429 |
| Practice Telephone | 6185121919 |
| Practice Fax Number | 6185121920 |
| Mailing Telephone | 3098276026 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MELISSA LYNN COOPER (MANGED CARE SUPERVISOR) |
| Authorized Official Telephone | 3098203535 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chestnut Family Health Center Granite City | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194227827 | Chestnut Health Systems, Inc | Case Management | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-03-08 |
| 1831634237 | Chestnut Health Systems, Inc | Clinic/Center | 12 N 64th St, Belleville, IL 62223-3809 | 2016-12-21 |
| 1790055952 | Chestnut Health Systems, Inc | Clinic/Center | 702 W Chestnut St, Bloomington, IL 61701-2814 | 2012-01-05 |
| 1790083095 | Chestnut Health Systems, Inc | Case Management | 1425 6th St, Madison, IL 62060-1417 | 2011-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CHESTNUT HEALTH SYSTEMS, INC. | 1003 Martin Luther King Drive, Bloomington, IL 61701 |
| Washington State Corporations | CHESTNUT HEALTH SYSTEMS, INC. | 1003 Martin Luther King Dr, Bloomington, IL 61701 |
| Indiana Business Entities | CHESTNUT HEALTH SYSTEMS, INC. | 1003 Martin Luther King Dr, Bloomington, IL 61701 |
| Street Address |
50 NORTHGATE INDUSTRIAL DR |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040-6805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921665 | Chestnut Health Systems Inc | Community Based Residential Treatment Facility, Mental Illness | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2006-05-22 |
| 1881207884 | Laura Beth Marcum | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-08-28 |
| 1063023943 | Min Shin | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-08-13 |
| 1184244261 | Lisa M Saunders | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-04-20 |
| 1487280616 | Haley Staats | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-03-19 |
| 1861027724 | Anne Marie Calvert | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-03-11 |
| 1447883954 | Lori Epley | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-02-13 |
| 1487286720 | John Ritcheson | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-02-05 |
| 1235779208 | Candyce Hurd | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-01-08 |
| 1841838737 | Kate E Timmermann | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE CITY |
| Zip Code | 62040 |
Please comment or provide details below to improve the information on CHESTNUT HEALTH SYSTEMS, INC.
| 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.