HUMAN SERVICE CENTER OF SOUTHERN METRO EAST (NPI# 1659733699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659733699 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Other Organization Name | HUMAN SERVICE CENTER OF S METRO E |
| Practice Address |
109 W Mill Street Okawville IL 62271-4418 |
| Mailing Address |
109 W Elm St Okawville IL 62271-1701 |
| Practice Telephone | 6182412091 |
| Practice Fax Number | 6182412093 |
| Mailing Telephone | 6182432091 |
| Mailing Fax Number | 6182432092 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | AMY BAUER (MIS COORDINATOR) |
| Authorized Official Telephone | 6182826233 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0280-0005-A | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Human Service Center of S Metro E | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356563563 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62233 | 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 |
109 W MILL STREET |
| City | OKAWVILLE |
| State | IL |
| Zip Code | 62271-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154782530 | Okawville Family Care LLC | Nurse Practitioner | 207 E Belleville, Okawville, IL 62271 | 2016-03-14 |
| 1831430941 | Okawville Family Pharmacy, LLC | Pharmacy | 210 West High Street, Okawville, IL 62271 | 2013-03-14 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1194086157 | Pc Associates LLC | Family Medicine | 205 East Belleville Street, Okawville, IL 62271 | 2012-06-06 |
| 1174610026 | Okawville Pharmacy | Pharmacy | 403 N Hanover, Okawville, IL 62271 | 2006-10-10 |
| 1184619033 | Crossroads Physician Corporation | Family Medicine | 205 E Belleville, Okawville, IL 62271 | 2005-09-16 |
| 1497302616 | Zachary Yehling | Psychologist | 809 N Franklin St, Okawville, IL 62271-0009 | 2019-08-22 |
| 1407058910 | West Washington Co Cu Dist 10 | Local Education Agency (LEA) | 508 North Front Str, Okawville, IL 62271-0027 | 2007-06-05 |
| 1528330560 | Shannon Catherine Maberry | Chiropractor | 4742 Swan Rd, Okawville, IL 62271-1034 | 2012-02-07 |
| 1497167456 | Brammeier Chiropractic LLC | Chiropractor | 11503 State Route 177, Okawville, IL 62271-1311 | 2014-05-27 |
| Find all providers in zip 62271 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 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.