Memorial Behavioral Health - Springfield Residential Center (Bldg A)

LBN: Mental Health Centers Of Central Illinois
Memorial Behavioral Health - Springfield Residential Center (Bldg A) is an health care organization with primary practice located at 200 W Lake Dr Building A, Springfield IL 62703-4956. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Mental Health Centers Of Central Illinois can be contacted via phone (217) 529-9775, or through Bowling, Ann via phone (217) 588-2626.

Contact Information

Primary practice address
200 W Lake Dr Building A Springfield IL 62703-4956
Phone: (217) 529-9775
Fax: (217) 529-9803
Website:
Map and Directions
Authorized official contact:
Name: Bowling, Ann
Phone: (217) 588-2626

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1225361769
LBN Legal business name Mental Health Centers Of Central Illinois
DBA Doing business as Memorial Behavioral Health - Springfield Residential Center (Bldg A)
Authorized official Bowling, Ann
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 16th, 2009
Last updated Oct 31st, 2023 - about last year

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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