IROQUOIS MENTAL HEALTH CENTER (NPI# 1326589805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326589805 |
Entity Type | Organization |
Organization Name | IROQUOIS MENTAL HEALTH CENTER |
Practice Address |
109 N Chestnut St Onarga IL 60955-1255 |
Mailing Address |
323 W Mulberry St Po Box 322 Watseka IL 60970-1568 |
Practice Telephone | 8154325241 |
Practice Fax Number | 8154324537 |
Mailing Telephone | 8154325241 |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-16 |
Authorized Official Name | DR. DENNIS P. HOPKINS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8154325241 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649774225 | Iroquois Mental Health Center | Community/Behavioral Health | 1137 E 5000n Rd Ste K, Bourbonnais, IL 60914-4229 | 2018-03-20 |
1780188367 | Iroquois Mental Health Center | Community/Behavioral Health | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-20 |
1023568102 | Iroquois Mental Health Center | Clinic/Center | 107 N. 4th Street, Sheldon, IL 60966 | 2016-10-12 |
1609326792 | Iroquois Mental Health Center | Clinic/Center | 141 W Garfield Ave, Cissna Park, IL 60924-6128 | 2016-10-12 |
1467820845 | Iroquois Mental Health Center | Community/Behavioral Health | 619 N Chicago St, Rossville, IL 60963-1012 | 2015-09-02 |
1932470606 | Iroquois Mental Health Center | Community/Behavioral Health | 200 S. Locust St., Loda, IL 60948 | 2012-01-26 |
1902186414 | Iroquois Mental Health Center | Community/Behavioral Health | 107 N. Fourth Street, Sheldon, IL 60966 | 2011-08-29 |
1811277320 | Iroquois Mental Health Center | Community/Behavioral Health | 141 West Garfield Ave, Cissna Park, IL 60924 | 2011-08-29 |
1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
1336617869 | Iroquois Mental Health Center | Substance Abuse Rehabilitation Facility | 411 W Division St, Manteno, IL 60950-1065 | 2018-11-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | IROQUOIS MENTAL HEALTH CENTER | 323 W Mulberry St, Watseka, IL 60970-1568 |
Street Address |
109 N CHESTNUT ST |
City | ONARGA |
State | IL |
Zip Code | 60955-1255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326119835 | Katherine M Fox | Dentist | 109 N Chestnut St, Onarga, IL 60955-1255 | 2006-11-13 |
1548648967 | E David Noh PC | Dentist | 109 N Chestnut St, Onarga, IL 60955-1255 | 2015-05-18 |
1891076014 | Iroqouois Mental Health Center | Community/Behavioral Health | 109 N Chestnut St, Onarga, IL 60955-1255 | 2011-09-01 |
1023218534 | Gibson Community Hospital Association | Family Medicine | 109 N Chestnut St, Onarga, IL 60955-1255 | 2007-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
1700032646 | Douglas Andrew Lanoue | Family Medicine | 912 W. Seminary Ave, Onarga, IL 60955 | 2008-08-12 |
1770616559 | Susan Kay Gray | Nurse Practitioner | 109 N Chestnut, Onarga, IL 60955 | 2007-03-13 |
1841249372 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 118 East Lincoln Street, Onarga, IL 60955 | 2006-05-10 |
1780938746 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 N Poplar, Onarga, IL 60955-0107 | 2012-10-30 |
1427006048 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2006-05-05 |
1629552229 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2018-09-19 |
1942579743 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2011-12-22 |
1861671406 | Leya M Barrett | Social Worker | 110 N Locust St, Onarga, IL 60955-1213 | 2007-10-31 |
1508064221 | Karen M Robertie | Counselor | 110 N Locust St, Onarga, IL 60955-1213 | 2007-07-03 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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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.