Illinois Medicaid-Substance Abuse Galesburg

LBN: Illinois Medicaid-Substance Abuse Galesburg
Illinois Medicaid-Substance Abuse Galesburg is an health care organization with primary practice located at 2323 Windish Dr , Galesburg IL 61401-9780. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Illinois Medicaid-Substance Abuse Galesburg can be contacted via phone (309) 344-4200, or through Nelson, Bill Arthur via phone (309) 344-4200.

Contact Information

Primary practice address
2323 Windish Dr Galesburg IL 61401-9780
Phone: (309) 344-4200
Fax: (309) 344-4281
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Bill Arthur LCPC
Phone: (309) 344-4200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-0118-0005-A Illinois
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Illinois

Profile Details

NPI number 1497123509
LBN Legal business name Illinois Medicaid-Substance Abuse Galesburg
DBA Doing business as
Authorized official Nelson, Bill Arthur LCPC
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 4th, 2015
Last updated Aug 19th, 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.

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