Human Resources Center of Edgar and Clark Counties
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Marshall, IL
NPI 1407014376 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1407014376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES
- Practice address
- 406 N 2ND St
Marshall, IL 62441-1075 - Phone
- (217) 465-4118
- Fax
- (217) 463-1899
- NPI assigned
- May 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Jonathan Burns
- Title
- Executive Director
- Phone
- (217) 465-4118
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Human Resources Center of Edgar and Clark Counties
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
406 N 2ND St
Marshall, IL 62441-1075
Mailing address
PO Box 1118
118 East Court Street
Paris, IL 61944-5118
Phone (217) 465-4118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A02360001A | Other | IL | IL DEPARTMENT OF HUMAN SERVICES |
Other providers in Marshall, IL
- Hospital & Medical Foundation of Paris, Inc.
- Hospital & Medical Foundation of Paris, Inc.
- Hospital & Medical Foundation of Paris, Inc.
- Hospital & Medical Foundation of Paris, Inc.
- Human Resources Center of Edgar and Clark Counties
- Human Resources Center of Edgar and Clark Counties
- Peggy Ann Hutson
- Kathy L Jackson
- Amy C James
- Taylor Erin Janes
All providers in Marshall, IL · Substance Use Disorder Rehabilitation Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.