HUMAN SERVICE CENTER OF SOUTHERN METRO EAST (NPI# 1497968093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497968093 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Practice Address |
104 Northtown Rd Sparta IL 62286 |
| Mailing Address |
104 W Northtown Drive Sparta IL 62286 |
| Practice Telephone | 6184433045 |
| Practice Fax Number | 6184435767 |
| Mailing Telephone | 6184433045 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | AMY BAUER (MIS COORDINATOR) |
| Authorized Official Telephone | 6182826233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0280-0002-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659733699 | Human Service Center of Southern Metro East | Clinic/Center | 109 W Mill Street, Okawville, IL 62271-4418 | 2016-03-28 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356563563 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62233 | 2007-05-03 |
| 1679795157 | Human Service Center of Southern Metro East | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-03 |
| 1134199037 | Human Service Center of Southern Metro East | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2006-01-24 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| Street Address |
104 NORTHTOWN RD |
| City | SPARTA |
| State | IL |
| Zip Code | 62286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336285907 | Jamia Klausing | Social Worker | 104 Northtown Rd, Sparta, IL 62286-1081 | 2007-01-30 |
| 1740726009 | Patricia Cope | Counselor | 104 Northtown Rd, Sparta, IL 62286-1081 | 2017-01-11 |
| 1841601259 | Alison Brendel | Counselor | 104 Northtown Rd, Sparta, IL 62286-1081 | 2014-05-20 |
| 1851671556 | Human Services Center | Clinic/Center | 104 Northtown Rd, Sparta, IL 62286-1081 | 2011-08-25 |
| 1366747768 | Pamela Kueker | Social Worker | 104 Northtown Rd, Sparta, IL 62286-1081 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
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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.