Human Service Center

LBN: Human Service Center
Human Service Center is an health care organization with primary practice located at 5113 N Executive Dr , Peoria IL 61614-4895. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Human Service Center can be contacted via phone (309) 671-8000, or through Nirde, Fred via phone (309) 671-8005.

Contact Information

Primary practice address
5113 N Executive Dr Peoria IL 61614-4895
Phone: (309) 671-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nirde, Fred
Phone: (309) 671-8005

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1558675868
LBN Legal business name Human Service Center
DBA Doing business as
Authorized official Nirde, Fred
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Jul 28th, 2010 - about 14 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 1558675868 NPPES
Illinois MEDICAID 31

Popular Providers