NPIMap

Organization Active NPI

Delta Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cairo, IL
National Provider Identifier
1033414800
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04045 Issued in IL
Legal business name
DELTA CENTER INC
Practice address
417 30TH St
Cairo, IL 62914-1344
Phone
(618) 734-2665
Fax
(618) 734-1999
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Tolbert
Title
Executive Director
Phone
(618) 734-2665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04045 IL Primary

Addresses

Primary practice location

417 30TH St
Cairo, IL 62914-1344

Mailing address

1400 Commercial Ave
Cairo, IL 62914-1978
Phone (618) 734-2665

National Provider Directory

National Provider Directory
Tax ID family
Delta Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

417 30th St
Cairo, IL 62914
Phone (618) 734-2665

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1033414800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMMERCIAL AVE",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629141978",
            "telephone_number": "618-734-2665",
            "fax_number": "618-734-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 30TH ST",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629141344",
            "telephone_number": "618-734-2665",
            "fax_number": "618-734-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-734-2665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.