Rosecrance Berry Campus

LBN: Rosecrance, Inc.
Rosecrance Berry Campus is an health care organization with primary practice located at 8616 Northern Ave , Rockford IL 61107-5309. 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. Rosecrance, Inc. can be contacted via phone (815) 391-1000, or through Eaton, Phillip via phone (815) 391-1000.

Contact Information

Primary practice address
8616 Northern Ave Rockford IL 61107-5309
Phone: (815) 391-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Phillip
Phone: (815) 391-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 04081 Illinois

Profile Details

NPI number 1669752275
LBN Legal business name Rosecrance, Inc.
DBA Doing business as Rosecrance Berry Campus
Authorized official Eaton, Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2011
Last updated Jun 27th, 2017 - about 8 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 1669752275 NPPES
Illinois MEDICAID A-0601-0037-A
Illinois MEDICAID 04081

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