Centerstone Of Illinois, Inc

LBN: Centerstone Of Illinois, Inc
Centerstone Of Illinois, Inc is an health care organization with primary practice located at 902 W Main St , West Frankfort IL 62896-2210. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Centerstone Of Illinois, Inc can be contacted via phone (618) 937-6483, or through Phillips, Stacy via phone (618) 937-6483.

Contact Information

Primary practice address
902 W Main St West Frankfort IL 62896-2210
Phone: (618) 937-6483
Fax: (618) 937-1440
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Stacy
Phone: (618) 937-6483

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1053455667
LBN Legal business name Centerstone Of Illinois, Inc
DBA Doing business as
Authorized official Phillips, Stacy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Apr 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053455667 NPPES
Illinois MEDICAID 351786086001
Illinois MEDICAID 359629323001

Popular Providers