CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL (NPI# 1659758043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659758043 |
Entity Type | Organization |
Organization Name | CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL |
Practice Address |
726 4th St Charleston IL 61920-1923 |
Mailing Address |
635 Division St P.o. Box 532 Charleston IL 61920-1902 |
Practice Telephone | 2173488108 |
Practice Fax Number | 2173456794 |
Mailing Telephone | 2173488108 |
Mailing Fax Number | 2173456794 |
Enumeration Date | 2015-05-05 |
Last Update Date | 2018-10-22 |
Authorized Official Name | TERESSA M. PERDIEU (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2173488108 |
Authorized Official Credential | MA CADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0631-0007-A | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | CA-0631-0007-A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780061143 | Central East Alcoholism and Drug Council | Clinic/Center | 513 N 13th St, Mattoon, IL 61938-3035 | 2015-05-05 |
1629455019 | Central East Alcoholism and Drug Council | Clinic/Center | 155 S Morgan St, Shelbyville, IL 62565-2241 | 2015-05-05 |
1649657180 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 1501 1/2 18th St, Charleston, IL 61920-3603 | 2015-05-05 |
1801273297 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 635 Division St Fl 2, Charleston, IL 61920-1902 | 2015-05-05 |
1174900567 | Central East Alcoholism and Drug Council | Clinic/Center | 635 Division St Fl 3, Charleston, IL 61920-1902 | 2015-05-05 |
1508243361 | Central East Alcoholism and Drug Council | Clinic/Center | 416 N 19th St, Mattoon, IL 61938-2842 | 2015-04-30 |
1225415342 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 8500 E County Road 150n, Lerna, IL 62440-2521 | 2015-04-27 |
1053450601 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 635 Division St Fl 1, Charleston, IL 61920-1902 | 2007-02-06 |
1558748947 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 720 4th St, Charleston, IL 61920-1923 | 2015-05-05 |
Street Address |
726 4TH ST |
City | CHARLESTON |
State | IL |
Zip Code | 61920-1923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
Find all providers in zip 61920 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174900567 | Central East Alcoholism and Drug Council | Clinic/Center | 635 Division St Fl 3, Charleston, IL 61920-1902 | 2015-05-05 |
1457690216 | Abbcon Counseling, Inc. | Clinic/Center | 603 Monroe Ave, Charleston, IL 61920-2034 | 2013-02-13 |
1477187078 | Magnolia Center Inc | Clinic/Center | 720 Magnolia Rd Ste 20, Charleston, SC 29407-7094 | 2020-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
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1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
Find all providers with the same taxonomy |
City | CHARLESTON |
Zip Code | 61920 |
Please comment or provide details below to improve the information on CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL.
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.