IROQUOIS MENTAL HEALTH CENTER (NPI# 1972053064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972053064 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MENTAL HEALTH CENTER |
| Practice Address |
102 Commerce Dr Clifton IL 60927-9501 |
| Mailing Address |
323 W Mulberry St Po Box 322 Watseka IL 60970-1568 |
| Practice Telephone | 8154325241 |
| Practice Fax Number | 8154324537 |
| Mailing Telephone | 8154325241 |
| Mailing Fax Number | 8154324537 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | DR. DENNIS P. HOPKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8154325241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649774225 | Iroquois Mental Health Center | Community/Behavioral Health | 1137 E 5000n Rd Ste K, Bourbonnais, IL 60914-4229 | 2018-03-20 |
| 1780188367 | Iroquois Mental Health Center | Community/Behavioral Health | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-20 |
| 1023568102 | Iroquois Mental Health Center | Clinic/Center | 107 N. 4th Street, Sheldon, IL 60966 | 2016-10-12 |
| 1609326792 | Iroquois Mental Health Center | Clinic/Center | 141 W Garfield Ave, Cissna Park, IL 60924-6128 | 2016-10-12 |
| 1467820845 | Iroquois Mental Health Center | Community/Behavioral Health | 619 N Chicago St, Rossville, IL 60963-1012 | 2015-09-02 |
| 1932470606 | Iroquois Mental Health Center | Community/Behavioral Health | 200 S. Locust St., Loda, IL 60948 | 2012-01-26 |
| 1902186414 | Iroquois Mental Health Center | Community/Behavioral Health | 107 N. Fourth Street, Sheldon, IL 60966 | 2011-08-29 |
| 1811277320 | Iroquois Mental Health Center | Community/Behavioral Health | 141 West Garfield Ave, Cissna Park, IL 60924 | 2011-08-29 |
| 1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
| 1336617869 | Iroquois Mental Health Center | Substance Abuse Rehabilitation Facility | 411 W Division St, Manteno, IL 60950-1065 | 2018-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IROQUOIS MENTAL HEALTH CENTER | 323 W Mulberry St, Watseka, IL 60970-1568 |
| Street Address |
102 COMMERCE DR |
| City | CLIFTON |
| State | IL |
| Zip Code | 60927-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235148693 | Annesley T Devasgunawardhane | Family Medicine | 102 Commerce Dr, Clifton, IL 60927-9501 | 2006-08-05 |
| 1700167921 | Iroquois Mental Health Center | Community/Behavioral Health | 102 Commerce Dr, Clifton, IL 60927-9501 | 2011-09-01 |
| 1093919821 | A T & G P Devasgunawardhane Md Ltd | Family Medicine | 102 Commerce Dr, Clifton, IL 60927-9501 | 2007-06-14 |
| 1982613352 | Padhmini Devasgunawardhane | Family Medicine | 102 Commerce Dr, Clifton, IL 60927-9501 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189792 | Central District #4 | Local Education Agency (LEA) | 1134 E3100 N Road, Clifton, IL 60927 | 2007-05-03 |
| 1831228006 | Orthomotion Technology Incorporated | Durable Medical Equipment & Medical Supplies | 240 West Second Avenue, Clifton, IL 60927 | 2007-03-05 |
| 1063423655 | Abraham Thomas | Internal Medicine | 335 6th St E, Clifton, IL 60927 | 2006-08-10 |
| 1699797548 | Venkata Moparthi | Internal Medicine | 335 E Sixth St, Clifton, IL 60927 | 2006-07-23 |
| 1144355082 | Deany Chiropractic | Chiropractor | 605 So. Main St., Clifton, IL 60927-0035 | 2007-02-22 |
| 1407918287 | Chebanse Township Fire Protection District | Ambulance | 325 West Third Avenue, Clifton, IL 60927-0666 | 2006-12-15 |
| 1346493111 | Arthur Merkle Clara Knipprath Nursing Home | Durable Medical Equipment & Medical Supplies | 1190 E 2900 North Rd, Clifton, IL 60927-7103 | 2008-10-24 |
| 1598789059 | Arthur Merkle-clara Knipprath Nursing Home | Nursing Care | 1190 E 2900 N Rd, Clifton, IL 60927-7103 | 2006-07-27 |
| 1659979987 | Clifton Operations LLC | Durable Medical Equipment & Medical Supplies | 1190 E 2900 North Rd, Clifton, IL 60927-7103 | 2020-10-09 |
| 1477151702 | Clifton Operations LLC | Skilled Nursing Facility | 1190 E 2900 North Rd, Clifton, IL 60927-7103 | 2020-10-09 |
| Find all providers in zip 60927 | ||||
| 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 | ||||
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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.