Riverside Medical Center in Kankakee - Substance Abuse Treatment, Children
Riverside Medical Center - NPI 1619144870
Riverside Medical Center is a Substance Abuse Treatment, Children in Kankakee, Illinois. Riverside Medical Center practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Riverside Medical Center is 1619144870. The last update date is 2016-07-28.
Riverside Medical Center's current location address is 350 N Wall St, Kankakee, Illinois. You can contact this provider via phone number 8159357256 and fax number 8159357490. The mailing address for Riverside Medical Center is 350 N Wall St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Medical Center |
|---|---|
| Address | 350 N Wall St, Kankakee, Illinois |
| Phone Number | 8159357256 |
| Fax Number | 8159357490 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Douglas W Bill |
| Telephone Number | 8159357256 |
NPI Number Detail
| NPI Number | 1619144870 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2016-07-28 |
Provider Mailing Address Detail
| Address | 350 N Wall St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609012901 |
| Phone Number | 8159357256 |
| Fax Number | 8159357490 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 2014 |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Post Comment/ Review Below
What is the Riverside Medical Center's 1619144870?
The Riverside Medical Center's NPI (National Provider Identifier) Number is 1619144870. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Riverside Medical Center is located?
The Riverside Medical Center is situated at the following address: 350 N Wall St, Kankakee, IL, 609012901.
What is Riverside Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Riverside Medical Center's specialized field of practice is Substance Abuse Treatment, Children, and the corresponding taxonomy code that categorizes this area of specialization is 3245S0500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619144870 to Riverside Medical Center?
The Centers for Medicare & Medicaid Services assigned the 1619144870 to Riverside Medical Center on 2008-05-15.
When was the information pertaining to Riverside Medical Center most recently updated or revised?
The details related to Riverside Medical Center, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-28.