Mchenry County Mental Health Board

LBN: Mchenry County Mental Health Board
Mchenry County Mental Health Board is an health care organization with primary practice located at 620 Dakota St , Crystal Lake IL 60012-3732. 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. Mchenry County Mental Health Board can be contacted via phone (815) 455-2828, or through Lewis, Alexandria via phone (815) 455-2828.

Contact Information

Primary practice address
620 Dakota St Crystal Lake IL 60012-3732
Phone: (815) 455-2828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Alexandria
Phone: (815) 455-2828

Health care specialties

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

Profile Details

NPI number 1154579068
LBN Legal business name Mchenry County Mental Health Board
DBA Doing business as
Authorized official Lewis, Alexandria
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 17 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 1154579068 NPPES
Illinois MEDICAID 014

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