NPIMap

Organization Active NPI

Shelby County Community Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelbyville, IL
National Provider Identifier
1154571701
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SHELBY COUNTY COMMUNITY SERVICES INC
Practice address
249 N Morgan St
Shelbyville, IL 62565-1672
Phone
(217) 774-1400
Fax
(217) 774-2256
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Thomas Colclasure
Title
Executive Director
Phone
(217) 774-5587

Specialties & licenses 1

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

Addresses

Primary practice location

249 N Morgan St
Shelbyville, IL 62565-1672

Mailing address

1810 W South 3Rd St
P.O. Box 650
Shelbyville, IL 62565-9595
Phone (217) 774-5587

National Provider Directory

National Provider Directory
Tax ID family
Shelby County Community Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

249 N Morgan St
Shelbyville, IL 62565
Phone (217) 774-1400

101 E North 12th St
Shelbyville, IL 62565
Phone (217) 774-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1154571701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W SOUTH 3RD ST",
            "address_2": "P.O. BOX 650",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659595",
            "telephone_number": "217-774-5587",
            "fax_number": "217-774-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 N MORGAN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651672",
            "telephone_number": "217-774-1400",
            "fax_number": "217-774-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "COLCLASURE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-774-5587"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.