NPIMap

Organization Active NPI

Human Resources Center of Edgar and Clark Counties

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marshall, IL
National Provider Identifier
1407014376
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 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
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mr. Jonathan Burns
Title
Executive Director
Phone
(217) 465-4118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Community/Behavioral Health Agency 251S00000X

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 1

IdentifierTypeStateIssuer
A02360001AOtherILIL DEPARTMENT OF HUMAN SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Human Resources Center of Edgar and Clark Counties8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

406 N 2nd St
Marshall, IL 62441
Phone (217) 465-4118

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1407014376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "address_2": "118 EAST COURT STREET",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619445118",
            "telephone_number": "217-465-4118",
            "fax_number": "217-463-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 2ND ST",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624411075",
            "telephone_number": "217-465-4118",
            "fax_number": "217-463-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-465-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DEPARTMENT OF HUMAN SERVICES",
            "identifier": "A02360001A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.