Alcohol Chemical Evaluation Services in Urbana - Community/behavioral Health

Alcohol Chemical Evaluation Services - NPI 1821202417

Alcohol Chemical Evaluation Services is a Community/behavioral Health in Urbana, Illinois. Alcohol Chemical Evaluation Services practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Alcohol Chemical Evaluation Services is 1821202417. The last update date is 2008-10-06.

Alcohol Chemical Evaluation Services's current location address is 217 N Broadway Ave, Urbana, Illinois. You can contact this provider via phone number 2173442671 and fax number 2173442819. The mailing address for Alcohol Chemical Evaluation Services is 217 N Broadway Ave, Urbana, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Alcohol Chemical Evaluation Services
Address 217 N Broadway Ave, Urbana, Illinois
Phone Number 2173442671
Fax Number 2173442819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Driver-Dixon Ann Lori
Telephone Number 2173442671

NPI Number Detail

NPI Number 1821202417
Provider Enumeration Date 2007-05-10
Last Updated Date 2008-10-06

Provider Mailing Address Detail

Address 217 N Broadway Ave
City Urbana
State Illinois (IL)
Post Code 618012706
Phone Number 2173442671
Fax Number 2173442819

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No A-7511-0001-
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1032040 IL BLUE SHIELD ID #

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FAQs about Alcohol Chemical Evaluation Services

What is the unique identifier code issued to Alcohol Chemical Evaluation Services by the Centers for Medicare & Medicaid Services?

The Alcohol Chemical Evaluation Services has been assigned the NPI (National Provider Identifier) 1821202417. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Alcohol Chemical Evaluation Services's physical address?

The Alcohol Chemical Evaluation Services is physically located at 217 N Broadway Ave, in the city of Urbana, IL, with the postal code 618012706.

What is Alcohol Chemical Evaluation Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Alcohol Chemical Evaluation Services is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.

When did Alcohol Chemical Evaluation Services receive its 1821202417 assignment?

The Alcohol Chemical Evaluation Services was assigned its 1821202417 on 2007-05-10, which is the date when this unique identifier was issued to the organization.

When was the information related to Alcohol Chemical Evaluation Services most recently updated or refreshed?

The details pertaining to the Alcohol Chemical Evaluation Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-06.

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