Northeastern Center Inc in Kendallville - Community/behavioral Health
Northeastern Center Inc - NPI 1720140908
Northeastern Center Inc is a Community/behavioral Health in Kendallville, Indiana. Northeastern Center Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Northeastern Center Inc is 1720140908. The last update date is 2017-02-21.
Northeastern Center Inc'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 Inc is Po Box 817, Kendallville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeastern Center Inc |
|---|---|
| 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 Jeryl |
| Telephone Number | 2603472453 |
NPI Number Detail
| NPI Number | 1720140908 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2017-02-21 |
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 |
|---|---|---|---|
| 100190820A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northeastern Center Inc by the Centers for Medicare & Medicaid Services?
The Northeastern Center Inc has been issued the NPI (National Provider Identifier) 1720140908 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Northeastern Center Inc located?
The Northeastern Center Inc is located at Po Box 817, Kendallville, IN 467550817.
What is the area of specialization for Northeastern Center Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northeastern Center Inc is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720140908 to Northeastern Center Inc?
The Northeastern Center Inc received its 1720140908 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information regarding Northeastern Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northeastern Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-21.
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