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The Robert Young Center for Community Mental Health

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Moline, IL

NPI 1376909309 · NPPES record last updated Nov 17, 2021

Key facts

NPI
1376909309
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Practice address
4600 3Rd St
Moline, IL 61265-6106
Phone
(309) 779-2031
Fax
(309) 779-5222
NPI assigned
Jan 6, 2016
Organization subpart
No

Authorized official

Name
Dennis Duke
Title
President
Phone
(309) 779-2043

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050705000917 IL Part a Provider - Community Mental Health Center 4587600150 1 other NPI on this enrollment
Practice locations: Moline, IL

National Provider Directory

Tax ID family
The Robert Young Center for (21 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5M00000032 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Psychiatric Hospital Unit 273R00000X

Addresses

Primary practice location

4600 3Rd St
Moline, IL 61265-6106

Mailing address

4600 3Rd St
Moline, IL 61265-6106
Phone (309) 779-2031

Other identifiers

IdentifierTypeStateIssuer
144649OtherILMEDICARE PTAN

Other names

  • Robert Young Center Doing business as

Other providers in Moline, IL

All providers in Moline, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

Sources for this page

Verify at the official NPI Registry.