Human Service Center

LBN: Human Service Center
Human Service Center is an health care organization with primary practice located at 2101 W Willow Knolls Dr , Peoria IL 61614-1219. 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. Human Service Center can be contacted via phone (309) 671-8000, or through Kennedy, Michael via phone (309) 671-8005.

Contact Information

Primary practice address
2101 W Willow Knolls Dr Peoria IL 61614-1219
Phone: (309) 671-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Michael
Phone: (309) 671-8005

Health care specialties

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

Profile Details

NPI number 1093029308
LBN Legal business name Human Service Center
DBA Doing business as
Authorized official Kennedy, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Dec 12th, 2017 - about 7 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 1093029308 NPPES
Illinois MEDICAID 035

Popular Providers