PRAIRIE CENTER HEALTH SYSTEMS (NPI# 1396299665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396299665 |
| Entity Type | Organization |
| Organization Name | PRAIRIE CENTER HEALTH SYSTEMS |
| Practice Address |
122 W Hill St Champaign IL 61820-3519 |
| Mailing Address |
718 W Killarney St Urbana IL 61801-1015 |
| Practice Telephone | 2173567576 |
| Practice Fax Number | 2173566571 |
| Mailing Telephone | 2173284500 |
| Mailing Fax Number | 2172391129 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| 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 |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A06060002A | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 06060001 | 05 | |
| IL | 06060002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154708923 | Prairie Center Health Systems | Clinic/Center | 1222 E Voorhees St, Danville, IL 61834-6249 | 2015-04-30 |
| Street Address |
122 W HILL ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417453846 | Susan Silver | Counselor | 122 W Hill St, Champaign, IL 61820-3519 | 2018-04-04 |
| 1316445117 | Angelina Dawkins | Social Worker | 122 W Hill St, Champaign, IL 61820-3519 | 2018-01-26 |
| 1649788837 | Deborah Winn | Counselor | 122 W Hill St, Champaign, IL 61820-3519 | 2018-01-22 |
| 1912412453 | Rosecrance, Inc. | Clinic/Center | 122 W Hill St, Champaign, IL 61820-3519 | 2017-12-06 |
| 1902311442 | Rosecrance, Inc. | Clinic/Center | 122 W Hill St, Champaign, IL 61820-3519 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114416690 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-05-09 |
| 1043774037 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2019-01-24 |
| 1538631122 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
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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.