Human Service Center

LBN: Human Service Center
Human Service Center is an health care organization with primary practice located at 228 Ne Jefferson Ave , Peoria IL 61603-3802. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is 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
228 Ne Jefferson Ave Peoria IL 61603-3802
Phone: (309) 671-8000
Fax: (309) 671-4695
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Michael
Phone: (309) 671-8005

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 04074 Illinois

Profile Details

NPI number 1922311679
LBN Legal business name Human Service Center
DBA Doing business as
Authorized official Kennedy, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2010
Last updated Mar 17th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922311679 NPPES
Illinois MEDICAID 015

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