HUMAN SERVICE CENTER OF SOUTHERN METRO EAST (NPI# 1356563563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356563563 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Other Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Practice Address |
115 East Stacey Street Chester IL 62233 |
| Mailing Address |
10257 State Route Three Red Bud IL 62278 |
| Practice Telephone | 6188264547 |
| Mailing Telephone | 6182826233 |
| Mailing Fax Number | 6182826949 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | AMY BAUER (MIS COORDINATOR) |
| Authorized Official Telephone | 6182826233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0280-0004-A | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Human Service Center of Southern Metro East | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659733699 | Human Service Center of Southern Metro East | Clinic/Center | 109 W Mill Street, Okawville, IL 62271-4418 | 2016-03-28 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1679795157 | Human Service Center of Southern Metro East | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-03 |
| 1134199037 | Human Service Center of Southern Metro East | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2006-01-24 |
| 1497968093 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Rd, Sparta, IL 62286 | 2007-05-08 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| Street Address |
115 EAST STACEY STREET |
| City | CHESTER |
| State | IL |
| Zip Code | 62233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164840740 | Malorie K Morris | Dentist | 9449 Mill Creek Road, Chester, IL 62233 | 2014-04-01 |
| 1366655268 | Adam Matthew Gibbs | Chiropractor | 423 W Holmes St, Chester, IL 62233 | 2007-05-07 |
| 1982816625 | Jodi Beth Buskohl Southern Il Chiropractic Clinic | Chiropractor | 2447 State St., Chester, IL 62233 | 2007-05-04 |
| 1881806008 | Human Service Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3298 Dawnview Road, Chester, IL 62233 | 2007-05-03 |
| 1902951536 | Southern Illinois Eye Care, PC | Optometrist | 425 W. Holmes, Chester, IL 62233 | 2007-01-24 |
| 1235117417 | Chester Clinic Professional Corp | Clinic/Center | 2319 Old Plank Rd, Chester, IL 62233 | 2006-01-06 |
| 1881951648 | Sara Elizabeth Chandler | Nurse Practitioner | 1315 Lehmen Drive, Chester, IL 62233 | 2012-04-18 |
| 1245323260 | Eve B Hoover | Physician Assistant | 2319 Old Plank Rd, Chester Clinic PC, Chester, IL 62233 | 2006-10-02 |
| 1154387850 | Brett A Prywitch | Radiology | 1900 State St, Chester Memorial Hospital, Chester, IL 62233 | 2006-04-22 |
| 1871606731 | Basheer Ahmed | Psychiatry & Neurology | 1315 Lehmen Drive, Chester, IL 62233-0031 | 2006-08-16 |
| Find all providers in zip 62233 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1407046998 | Arms Acres Inc | Clinic/Center | 3 Maple Ave, Chester, NY 10918-1324 | 2007-07-31 |
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| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.