NPIMap

Organization Active NPI

Transitions of Western Illinois Inc.

  • Community Health Clinic/Center
  • Quincy, IL
National Provider Identifier
1235967746
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
TRANSITIONS OF WESTERN ILLINOIS INC.
Practice address
4409 Maine St
Quincy, IL 62305-5849
Phone
(217) 223-0413
Fax
(217) 223-0461
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Lisa Potter
Title
Billing Specialist
Phone
(217) 223-0423

Specialties & licenses 1

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

Addresses

Primary practice location

4409 Maine St
Quincy, IL 62305-5849

Mailing address

PO Box 3646
Quincy, IL 62305-3646
Phone (217) 223-0413

Other names 1

  • Transitions of Illinois Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Transitions of Western Illinois7 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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1235967746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3646",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623053646",
            "telephone_number": "217-223-0413",
            "fax_number": "217-223-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055849",
            "telephone_number": "217-223-0413",
            "fax_number": "217-223-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS OF WESTERN ILLINOIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "217-223-0423"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitions of Illinois Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 25, 2024; 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.