South Side Office Of Concern in Peoria - Case Management
South Side Office Of Concern - NPI 1174724280
South Side Office Of Concern is a Case Management in Peoria, Illinois. South Side Office Of Concern practices all healthcare services and medical treatments related to Case Management. The NPI Number for South Side Office Of Concern is 1174724280. The last update date is 2008-04-23.
South Side Office Of Concern's current location address is 301 Ne Jefferson Street, Peoria, Illinois. You can contact this provider via phone number 3096747310 and fax number 3096749652. The mailing address for South Side Office Of Concern is 301 Ne Jefferson Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Side Office Of Concern |
|---|---|
| Address | 301 Ne Jefferson Street, Peoria, Illinois |
| Phone Number | 3096747310 |
| Fax Number | 3096749652 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kahl E Christine |
| Credentials | CADC |
| Telephone Number | 3096747310 |
NPI Number Detail
| NPI Number | 1174724280 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 301 Ne Jefferson Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021212 |
| Phone Number | 3096747310 |
| Fax Number | 3096749652 |
Provider's Primary Taxonomy Detail
| Speciality | Case Management |
|---|---|
| Taxonomy | 251B00000X |
| Licence No | 4125 |
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Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used |
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What is the South Side Office Of Concern's unique identification number?
The South Side Office Of Concern has been assigned the NPI (National Provider Identifier) Number 1174724280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of South Side Office Of Concern?
The South Side Office Of Concern is physically situated at 301 Ne Jefferson Street, in the city of Peoria, state of IL, with the postal code 616021212.
What is South Side Office Of Concern'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 South Side Office Of Concern is Case Management, and the taxonomy classification code that categorizes this area of expertise is 251B00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174724280 to South Side Office Of Concern?
The South Side Office Of Concern received its 1174724280 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the information related to South Side Office Of Concern most recently updated or refreshed?
The details pertaining to the South Side Office Of Concern, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-23.