Vine St Clinic is a Psychiatry in Springfield, Illinois. Vine St Clinic practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Vine St Clinic is 1730217662. The last update date is 2008-04-01.
Vine St Clinic's current location address is 3225 Hedley Rd, Springfield, Illinois. You can contact this provider via phone number 2177267300 and fax number 2177265989. The mailing address for Vine St Clinic is 3225 Hedley Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vine St Clinic |
|---|---|
| Address | 3225 Hedley Rd, Springfield, Illinois |
| Phone Number | 2177267300 |
| Fax Number | 2177265989 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Alexander B Richard |
| Credentials | M.D. |
| Telephone Number | 2177267300 |
NPI Number Detail
| NPI Number | 1730217662 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 3225 Hedley Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627116248 |
| Phone Number | 2177267300 |
| Fax Number | 2177265989 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CL5057 | GA | RAILROAD MEDICARE | |
| 8415473 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Vine St Clinic by the Centers for Medicare & Medicaid Services?
The Vine St Clinic has been assigned the NPI (National Provider Identifier) 1730217662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Vine St Clinic's facilities are situated?
The facilities of Vine St Clinic are physically located at the following address: 3225 Hedley Rd, Springfield, IL, 627116248.
What is Vine St Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Vine St Clinic is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date was the 1730217662 assigned to Vine St Clinic?
The Vine St Clinic was issued its 1730217662 on 2007-03-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Vine St Clinic most recently updated or revised?
The details related to Vine St Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-01.