NPIMap

Organization Active NPI

MH Health Care Services, PC

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1184288664
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MH HEALTH CARE SERVICES, PC
Practice address
120 N 3Rd St
Rockford, IL 61107-4011
Phone
(815) 516-0110
NPI assigned
Apr 30, 2019
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MH HEALTH CARE SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Nancy Carlson, MD
Title
President
Phone
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

120 N 3Rd St
Rockford, IL 61107-4011

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (866) 434-3255

Other names 1

  • City of Rockford Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Health Care Services PC156 organizations share this tax ID, including this one
Part of
MH Health Care Services PC

Organizations with this tax ID in the same state 10

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

Locations

120 N 3rd St
Rockford, IL 61107
Phone (815) 516-0110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1184288664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 3RD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074011",
            "telephone_number": "815-516-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HEALTH CARE SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH HEALTH CARE SERVICES, PC",
        "enumeration_date": "2019-04-30",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Rockford Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "City of Rockford Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.