Illinois Medicaid- Substance Abuse Kewanee

LBN: Illinois Medicaid- Substance Abuse Kewanee
Illinois Medicaid- Substance Abuse Kewanee is an health care organization with primary practice located at 137 E College St , Kewanee IL 61443-3703. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, 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 Kewanee can be contacted via phone (309) 852-4331, or through Nelson, Bill A via phone (309) 344-4200.

Contact Information

Primary practice address
137 E College St Kewanee IL 61443-3703
Phone: (309) 852-4331
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Bill A LCPC
Phone: (309) 344-4200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-0118-0003-A Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Illinois
Ambulatory Health Care Facilities / Methadone 261QM2800X Illinois
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Illinois

Profile Details

NPI number 1386011161
LBN Legal business name Illinois Medicaid- Substance Abuse Kewanee
DBA Doing business as
Authorized official Nelson, Bill A LCPC
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 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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