HUMAN SERVICE CENTER OF SOUTHERN METRO EAST (NPI# 1679795157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679795157 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Practice Address |
10257 State Route Three Red Bud IL 62278 |
| Practice Telephone | 6182826233 |
| Practice Fax Number | 6182826949 |
| Mailing Telephone | 6182826233 |
| Mailing Fax Number | 6182826949 |
| Enumeration Date | 2007-05-03 |
| 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-0280-0001-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 |
| 1134199037 | Human Service Center of Southern Metro East | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2006-01-24 |
| 1497968093 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Rd, Sparta, IL 62286 | 2007-05-08 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| Street Address |
10257 STATE ROUTE THREE |
| City | RED BUD |
| State | IL |
| Zip Code | 62278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353523 | Human Service Center | Private Vehicle | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-09 |
| 1093928111 | Human Service Center | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852028 | Margret De Jesus De Guzman | Surgery | Red Bud Illinois Hospital Comany LLC, 325 Spring St, Red Bud, IL 62278 | 2011-03-22 |
| 1952595878 | Clarkson Optometry Illinois PC | Optometrist | 210 S Main, Red Bud, IL 62278 | 2007-09-04 |
| 1508980798 | Quentin Thomas Stenzel | Chiropractor | 204 W. Market, Red Bud, IL 62278 | 2007-03-16 |
| 1306905054 | Jennifer Ranee Dewilde | Chiropractor | 930 West Market, Suite 1, Red Bud, IL 62278 | 2006-12-08 |
| 1588147623 | Thomas Michael Castilaw | Nurse Practitioner | 325 Spring St, Red Bud, IL 62278 | 2018-09-14 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| 1417960121 | Tina Renee Stulce | Dentist | 307 S Main St, Red Bud, IL 62278 | 2006-08-14 |
| 1417058777 | Drs Pichet & Meechai | Internal Medicine | 415 W S Fourth St, Suite A, Red Bud, IL 62278-0168 | 2006-09-26 |
| 1477652444 | Pichet Santilukka | Internal Medicine | 415 W S Fourth Street, Suite A, Red Bud, IL 62278-0168 | 2006-09-22 |
| 1912054677 | De Wild Chiropractic Center, Inc | Chiropractor | 930 W Market St, Suite 1, Red Bud, IL 62278-1006 | 2007-01-04 |
| Find all providers in zip 62278 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.