NPIMap

Organization Active NPI

Centerstone of Illinois, Inc

  • Community Health Clinic/Center
  • Quincy, IL
National Provider Identifier
1164384707
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CENTERSTONE OF ILLINOIS, INC
Practice address
639 York St
Quincy, IL 62301-3963
Phone
(855) 608-3560
NPI assigned
Dec 2, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Stacy D Phillips
Title
VP, Accounts Receivable
Phone
(618) 599-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

639 York St
Quincy, IL 62301-3963

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

National Provider Directory

National Provider Directory
Tax ID family
Franklin Williamson Human Services62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1164384707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 YORK ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013963",
            "telephone_number": "855-608-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE OF ILLINOIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP, ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "618-599-6157"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.