NPIMap

Organization Active NPI

Iroqouois Mental Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bourbonnais, IL
National Provider Identifier
1033613997
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
IROQOUOIS MENTAL HEALTH CENTER
Practice address
1137 E 5000N Rd Ste K
Bourbonnais, IL 60914-4229
Phone
(815) 432-5241
Fax
(815) 432-4537
NPI assigned
Mar 23, 2018
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Kim Fear
Title
Assoc Exec Dir of HR and Finance
Phone
(815) 432-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1137 E 5000N Rd Ste K
Bourbonnais, IL 60914-4229

Mailing address

PO Box 322
Watseka, IL 60970-0322
Phone (815) 432-5241

National Provider Directory

National Provider Directory
Tax ID family
Iroquois Mental Health Center31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1033613997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609700322",
            "telephone_number": "815-432-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 E 5000N RD STE K",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144229",
            "telephone_number": "815-432-5241",
            "fax_number": "815-432-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQOUOIS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "FEAR",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ASSOC EXEC DIR OF HR AND FINANCE",
        "authorized_official_telephone_number": "815-432-5241"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.