SINNISSIPPI CENTERS, INC. (NPI# 1871042937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871042937 |
| Entity Type | Organization |
| Organization Name | SINNISSIPPI CENTERS, INC. |
| Practice Address |
1122 Healthcare Dr Mount Carroll IL 61053-1461 |
| Practice Telephone | 8152441376 |
| Practice Fax Number | 8152443074 |
| Mailing Telephone | 8152441376 |
| Mailing Fax Number | 8152443074 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | TERESA A GOOD (VP/CFO) |
| Authorized Official Telephone | 8152846611 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407485261 | Sinnissippi Centers, Inc. | Clinic/Center | 200 W Hawley St, Amboy, IL 61310-1158 | 2020-04-03 |
| 1922114115 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 325 Il Route 2, Dixon, IL 61021-9118 | 2006-08-21 |
| 1801425277 | Sinnissippi Centers, Inc. | Clinic/Center | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2020-04-07 |
| 1235768607 | Sinnissippi Centers, Inc. | Clinic/Center | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2020-04-07 |
| 1952930711 | Sinnissippi Centers, Inc. | Clinic/Center | 200 W Hawley St, Amboy, IL 61310-1158 | 2020-04-03 |
| 1588171821 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 922 Washington Ave, Dixon, IL 61021-1254 | 2018-01-09 |
| 1679080915 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 922 Washington Ave, Dixon, IL 61021-1254 | 2018-01-09 |
| 1457801748 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2016-10-11 |
| 1710436878 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 325 Il Route 2, Dixon, IL 61021-9118 | 2016-09-29 |
| 1851840920 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 1321 N 7th St, Rochelle, IL 61068-1185 | 2016-09-29 |
| Street Address |
1122 HEALTHCARE DR |
| City | MOUNT CARROLL |
| State | IL |
| Zip Code | 61053-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972710218 | Diana L Hoover | Counselor | 1122 Healthcare Dr, Sinnissippi Centers, Mount Carroll, IL 61053-1461 | 2007-05-17 |
| 1790394906 | Katelyn Renee Phillips | Counselor | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2020-07-24 |
| 1902447857 | Brenda Dorsey | Case Manager/Care Coordinator | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2019-10-02 |
| 1285174763 | Cody Hutton | Counselor | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2017-03-02 |
| 1336497882 | Melody Beth Weber | Counselor | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2012-08-15 |
| 1609144054 | Laura Marie Smith | Counselor | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2011-12-13 |
| 1366739781 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2011-07-06 |
| 1821328063 | Scott Edward Heise | Counselor | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2010-01-11 |
| 1154577757 | Tammy Ann Olson | Counselor | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700321452 | Holly M Koser | Social Worker | 1126 Healthcare Drive, Mt Carroll, IL 61053 | 2017-01-04 |
| 1932383734 | Deyo Chiropractic Center Ltd | Clinic/Center | 702 S East St, Mount Carroll, IL 61053 | 2007-12-28 |
| 1538582382 | Sharshon Pharmacy, Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053 | 2014-01-30 |
| 1396802336 | Ronald Adrian Deyo | Chiropractor | 18158 Il Rt 40 South, Mt Carroll, IL 61053-0147 | 2007-01-02 |
| 1598760902 | Pharmacy Center Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053-1031 | 2005-06-14 |
| 1467547109 | John Allan Hutchison | Pharmacist | 101 W Market St, Mount Carroll, IL 61053-1031 | 2006-10-04 |
| 1558759407 | Karri Kloepping | Physician Assistant | 106 E Market St, Mount Carroll, IL 61053-1108 | 2014-12-30 |
| 1952463705 | County of Carroll | Clinic/Center | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2006-12-15 |
| 1962837195 | Kathleen Allen | Registered Nurse | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2013-09-06 |
| 1780956656 | Jennifer Miller | Registered Nurse | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2012-02-07 |
| Find all providers in zip 61053 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARROLL |
| Zip Code | 61053 |
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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.