Starved Rock Regional Center For Therapy & Child Development in Ottawa - Voluntary Or Charitable

Starved Rock Regional Center For Therapy & Child Development - NPI 1063544401

Starved Rock Regional Center For Therapy & Child Development is a Voluntary Or Charitable in Ottawa, Illinois. Starved Rock Regional Center For Therapy & Child Development practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Starved Rock Regional Center For Therapy & Child Development is 1063544401. The last update date is 2018-06-19.

Starved Rock Regional Center For Therapy & Child Development's current location address is 1013 Adams Street, Ottawa, Illinois. You can contact this provider via phone number 8154340857 and fax number 8154342260. The mailing address for Starved Rock Regional Center For Therapy & Child Development is 1013 Adams Street, Ottawa, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Starved Rock Regional Center For Therapy & Child Development
Address 1013 Adams Street, Ottawa, Illinois
Phone Number 8154340857
Fax Number 8154342260
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM DI
Authorized Official Name Williamson Sue Paula
Telephone Number 8154340857

NPI Number Detail

NPI Number 1063544401
Provider Enumeration Date 2007-03-12
Last Updated Date 2018-06-19

Provider Mailing Address Detail

Address 1013 Adams Street
City Ottawa
State Illinois (IL)
Post Code 613544304
Phone Number 8154340857
Fax Number 8154342260

Provider's Primary Taxonomy Detail

Speciality Voluntary Or Charitable
Taxonomy 251V00000X
Definition:
Nonprofit health or human services agency supported by charitable donations and volunteers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5015093 IL BCBS

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FAQs about Starved Rock Regional Center For Therapy & Child Development

What is the Starved Rock Regional Center For Therapy & Child Development's unique identification number?

The Starved Rock Regional Center For Therapy & Child Development has been assigned the NPI (National Provider Identifier) Number 1063544401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Starved Rock Regional Center For Therapy & Child Development is geographically located?

The Starved Rock Regional Center For Therapy & Child Development is physically situated at the following location: 1013 Adams Street, Ottawa, IL, 613544304.

What is the area of specialization for Starved Rock Regional Center For Therapy & Child Development, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Starved Rock Regional Center For Therapy & Child Development is Voluntary Or Charitable, and the corresponding taxonomy code that categorizes this area of expertise is 251V00000X.

On what date did the Starved Rock Regional Center For Therapy & Child Development receive the assignment of its 1063544401 from the Centers for Medicare & Medicaid Services?

The Starved Rock Regional Center For Therapy & Child Development was issued its 1063544401 by the Centers for Medicare & Medicaid Services on 2007-03-12.

As of what date were the details related to Starved Rock Regional Center For Therapy & Child Development most recently updated or revised?

The information pertaining to Starved Rock Regional Center For Therapy & Child Development, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-19.

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