Janet Wattles Center

LBN: Janet Wattles Center
Janet Wattles Center is an health care organization with primary practice located at 1422 20Th St , Rockford IL 61104-3519. 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. Janet Wattles Center can be contacted via phone (815) 968-9300, or through Eaton, Phil via phone (815) 968-9300.

Contact Information

Primary practice address
1422 20Th St Rockford IL 61104-3519
Phone: (815) 968-9300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Phil
Phone: (815) 968-9300

Health care specialties

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

Profile Details

NPI number 1124313465
LBN Legal business name Janet Wattles Center
DBA Doing business as
Authorized official Eaton, Phil
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 2011 - about 13 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 1124313465 NPPES
Illinois MEDICAID 009
Illinois Other 10120962

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