Arrowhead Ranch in Coal Valley - Community/behavioral Health
Arrowhead Ranch - NPI 1407026511
Arrowhead Ranch is a Community/behavioral Health in Coal Valley, Illinois. Arrowhead Ranch practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Arrowhead Ranch is 1407026511. The last update date is 2020-09-17.
Arrowhead Ranch's current location address is 12200 104th St, Coal Valley, Illinois. You can contact this provider via phone number 3097997044. The mailing address for Arrowhead Ranch is 12200 104th St, Coal Valley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arrowhead Ranch |
|---|---|
| Address | 12200 104th St, Coal Valley, Illinois |
| Phone Number | 3097997044 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Parks Machay Chelease |
| Credentials | ED. D. |
| Telephone Number | 3097997044 |
NPI Number Detail
| NPI Number | 1407026511 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2020-09-17 |
Provider Mailing Address Detail
| Address | 12200 104th St |
|---|---|
| City | Coal Valley |
| State | Illinois (IL) |
| Post Code | 612409712 |
| Phone Number | 3097997044 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identification code issued to Arrowhead Ranch by the Centers for Medicare & Medicaid Services?
The Arrowhead Ranch has been assigned the NPI (National Provider Identifier) 1407026511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Arrowhead Ranch's facilities are geographically located?
The facilities of Arrowhead Ranch are physically situated at the following location: 12200 104Th St, Coal Valley, IL, 612409712.
What is the Arrowhead Ranch's area of specialization and corresponding taxonomy classification?
The Arrowhead Ranch's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407026511 to Arrowhead Ranch?
The Centers for Medicare & Medicaid Services assigned the 1407026511 to Arrowhead Ranch on 2008-03-04.
When was the information regarding Arrowhead Ranch most recently updated?
The details pertaining to the Arrowhead Ranch, including its address, specialty, and other relevant information, were last refreshed on 2020-09-17.