Chaddock Attachment And Trauma Services

LBN: Chaddock Attachment And Trauma Services
Chaddock Attachment And Trauma Services is an health care organization with primary practice located at 100 W Buchanan St , Carthage IL 62321-1249. 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 Attachment And Trauma Services can be contacted via phone (217) 222-0034, or through Patton, Kristen via phone (217) 592-0317.

Contact Information

Primary practice address
100 W Buchanan St Carthage IL 62321-1249
Phone: (217) 222-0034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patton, Kristen
Phone: (217) 592-0317

Health care specialties

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

Profile Details

NPI number 1093594483
LBN Legal business name Chaddock Attachment And Trauma Services
DBA Doing business as
Authorized official Patton, Kristen
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 25th, 2023
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 1093594483 NPPES
Illinois MEDICAID 3A00-IPI-019

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