Unit 1072 Upper Treatment Complex

LBN: Unit 1072 Upper Treatment Complex
Unit 1072 Upper Treatment Complex is an health care organization with primary practice located at 1000 N Main St , Anna IL 62906-1652. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Unit 1072 Upper Treatment Complex can be contacted via phone (618) 833-5161, or through Brown, Bruce via phone (618) 833-5161.

Contact Information

Primary practice address
1000 N Main St Anna IL 62906-1652
Phone: (618) 833-5161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Bruce
Phone: (618) 833-5161

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1306978127
LBN Legal business name Unit 1072 Upper Treatment Complex
DBA Doing business as
Authorized official Brown, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1306978127 NPPES
Illinois MEDICAID 14G045

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