Northeastern Center in Kendallville - Community/behavioral Health
Northeastern Center - NPI 1174685358
Northeastern Center is a Community/behavioral Health in Kendallville, Indiana. Northeastern Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Northeastern Center is 1174685358. The last update date is 2008-06-16.
Northeastern Center's current location address is Po Box 817, Kendallville, Indiana. You can contact this provider via phone number 2603472453 and fax number 2603472456. The mailing address for Northeastern Center is Po Box 817, Kendallville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeastern Center |
|---|---|
| Address | Po Box 817, Kendallville, Indiana |
| Phone Number | 2603472453 |
| Fax Number | 2603472456 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hollister Jerry |
| Telephone Number | 2603472453 |
NPI Number Detail
| NPI Number | 1174685358 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | Po Box 817 |
|---|---|
| City | Kendallville |
| State | Indiana (IN) |
| Post Code | 467550817 |
| Phone Number | 2603472453 |
| Fax Number | 2603472456 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 426-0-CMHC |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100190820B | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Northeastern Center by the Centers for Medicare & Medicaid Services?
The Northeastern Center has been assigned the NPI (National Provider Identifier) 1174685358 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Northeastern Center's physical address?
The Northeastern Center is physically located at Po Box 817, in the city of Kendallville, IN, with the postal code 467550817.
What is Northeastern Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northeastern Center is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date did the Northeastern Center receive the assignment of its 1174685358 from the Centers for Medicare & Medicaid Services?
The Northeastern Center was issued its 1174685358 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information regarding Northeastern Center most recently updated?
The details pertaining to the Northeastern Center, including its address, specialty, and other relevant information, were last refreshed on 2008-06-16.