Chestnut Health Systems Inc
LBN: Chestnut Health Systems Inc
Chestnut Health Systems Inc is an health care organization with primary practice located at 1003 Martin Luther King Dr , Bloomington IL 61701-1429. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Chestnut Health Systems Inc can be contacted via phone (309) 827-6026, or through Cooper, Melissa via phone (309) 820-3535.
Contact Information
Primary practice address
1003 Martin Luther King Dr
Bloomington IL 61701-1429
Phone: (309) 827-6026
Fax:
Website:
Authorized official contact:
Name: Cooper, Melissa Licensed Practical Nurse (LPN)
Phone: (309) 820-3535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | A-0126-0002-A | Illinois |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1356596563 |
|---|---|
| LBN Legal business name | Chestnut Health Systems Inc |
| DBA Doing business as | |
| Authorized official | Cooper, Melissa Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2008 |
| Last updated | Jan 31st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356596563 | NPPES |
| Illinois | MEDICAID | C/A-0126-0007-A |
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