Sangamon-Menard Alcoholsim and Drugs Council

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SANGAMON-MENARD ALCOHOLSIM AND DRUGS COUNCIL

Doing business as

Triangle Center

Practice address

120 N 11TH St
Springfield, IL 62703-1002

Phone

(217) 544-9858

Fax

(217) 544-0223

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Joseph Knox, M.S.

Title

Chief Executive Officer

Phone

(217) 544-9858

Specialties & licenses 1

Addresses

Other names 1

• Triangle Center Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245341684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 11TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031002",
            "telephone_number": "217-544-9858",
            "fax_number": "217-544-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 11TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031002",
            "telephone_number": "217-544-9858",
            "fax_number": "217-544-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGAMON-MENARD ALCOHOLSIM AND DRUGS COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-544-9858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sangamon Area Special Education Dist
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• Sangamon Care Center
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• Gaurav Sangwan, M.D.
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• Lyanne Santana Pagan, MD
• Santarelli & Feller Dental Group
• James R. Santarelli, DDS

• Substance Abuse Rehabilitation Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.