IMPACT CIL


Address: 2735 E Broadway, Alton, IL 62002-1859
Phone: 6184745314

IMPACT CIL (NPI# 1760809313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760809313
Entity Type Organization
Organization Name IMPACT CIL
Practice Address 2735 E Broadway
Alton
IL 62002-1859
Practice Telephone 6184745314
Practice Fax Number 6184745309
Mailing Telephone 6184745314
Mailing Fax Number 6184745309
Enumeration Date 2014-03-20
Last Update Date 2014-03-20
Authorized Official Name CATHY CONTARINO (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6184621411
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable IL Agencies

Office Location

Street Address 2735 E BROADWAY
City ALTON
State IL
Zip Code 62002-1859

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1982125910 Amy Nicole Spalding Social Worker 1123 Harrison St, Alton, IL 62002 2017-06-29
1962856310 Patricia Gregory Social Worker 5090 Humbert Rd, Alton, IL 62002 2016-04-21
1447612510 Alanna Lynn Mcnelly Chiropractor 219 Piasa St, Suite 200, Alton, IL 62002 2016-03-28
1174983050 Roberta's Lovely Ladies Boutique Mastectomy Fitter 603 W. Delmar, Alton, IL 62002 2016-03-04
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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1043867112 Southern Illinois Center for Independent Living Voluntary or Charitable 2135 W. Ramada Lane, Carbondale, IL 62901-5326 2019-08-22
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1720447667 Neptune Voluntary or Charitable 2189 N Il Route 83 Ste 220, Round Lake Beach, IL 60073-4906 2016-02-21
1366817017 Englewood Community Connection Outreach Voluntary or Charitable 7326 S Exchange Ave, Chicago, IL 60649-3408 2015-12-07
1508235060 Southeastern Il Agency On Aging, Inc Voluntary or Charitable 516 N Market St, Mount Carmel, IL 62863-1558 2015-09-15
1043687148 Agesmart Community Resources Voluntary or Charitable 2365 Country Rd, Belleville, IL 62221-2571 2015-08-25
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Competitor

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City ALTON
Zip Code 62002

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Dataset Information

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.

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