Chaddock

LBN: Chaddock
Chaddock is an health care organization with primary practice located at 921 N 24Th St , Quincy IL 62301-2267. The organization recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Foster Care Agency is the primary health care specialty. Chaddock can be contacted via phone (217) 222-0034, or through Patton, Kristen via phone (217) 592-0317.

Contact Information

Primary practice address
921 N 24Th St Quincy IL 62301-2267
Phone: (217) 222-0034
Fax: (217) 222-0253
Website:
Map and Directions
Authorized official contact:
Name: Patton, Kristen
Phone: (217) 592-0317

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 004048-12 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1093063208
LBN Legal business name Chaddock
DBA Doing business as
Authorized official Patton, Kristen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2012
Last updated Sep 25th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093063208 NPPES
Illinois MEDICAID #3A00-IPI-019

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