Park Place Center in Jacksonville - Clinical
Park Place Center - NPI 1346451853
Park Place Center is a Clinical in Jacksonville, Illinois. Park Place Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Park Place Center is 1346451853. The last update date is 2012-10-05.
Park Place Center's current location address is 201 E Morgan St, Jacksonville, Illinois. You can contact this provider via phone number 2172451655 and fax number 2172454742. The mailing address for Park Place Center is 201 E Morgan St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Place Center |
|---|---|
| Address | 201 E Morgan St, Jacksonville, Illinois |
| Phone Number | 2172451655 |
| Fax Number | 2172454742 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Scott J Ed |
| Credentials | L.C.S.W. |
| Telephone Number | 2172451655 |
NPI Number Detail
| NPI Number | 1346451853 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | 201 E Morgan St |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626502508 |
| Phone Number | 2172451655 |
| Fax Number | 2172454742 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.003173 |
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What is the unique identification code assigned to Park Place Center by the Centers for Medicare & Medicaid Services?
The Park Place Center has been issued the NPI (National Provider Identifier) 1346451853. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Park Place Center is physically located?
The Park Place Center is situated at the following address: 201 E Morgan St, Jacksonville, IL 626502508.
What is the Park Place Center's specialty and taxonomy code?
The Park Place Center's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1346451853 assigned to Park Place Center?
The Park Place Center was issued its 1346451853 on 2007-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Park Place Center's details last updated?
The information pertaining to the Park Place Center, including its address, specialty, and other details, was most recently updated on 2012-10-05.