NPIMap

Organization Active NPI

Marion County Horizon Center D/B/a Our Place

  • Intellectual Disabilities Intermediate Care Facility
  • Murphysboro, IL
National Provider Identifier
1275725608
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0036293 Issued in IL
Legal business name
MARION COUNTY HORIZON CENTER D/B/A OUR PLACE
Practice address
301 N 13TH St
Murphysboro, IL 62966-2000
Phone
(618) 687-1415
Fax
(618) 684-4361
NPI assigned
Aug 9, 2007
Last updated
Oct 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Mrs. Rita M Armbrust
Title
Manager
Phone
(618) 548-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0036293 IL Primary

Addresses

Primary practice location

301 N 13TH St
Murphysboro, IL 62966-2000

Mailing address

122 North Hotze Road
P.O. Box 745
Salem, IL 62881
Phone (618) 548-0309

National Provider Directory

National Provider Directory
Tax ID family
Eastgate House5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1275725608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NORTH HOTZE ROAD",
            "address_2": "P.O. BOX 745",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "62881",
            "telephone_number": "618-548-0309",
            "fax_number": "618-548-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 13TH ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662000",
            "telephone_number": "618-687-1415",
            "fax_number": "618-684-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY HORIZON CENTER D/B/A OUR PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "ARMBRUST",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-548-0309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0036293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.