NPIMap

Organization Active NPI

Alton Mental Health Center

  • Long Term Care Pharmacy
  • Alton, IL
National Provider Identifier
1720132566
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ALTON MENTAL HEALTH CENTER
Practice address
4500 College Ave
Alton, IL 62002-5051
Phone
(618) 474-3408
Fax
(618) 474-3959
NPI assigned
Jan 22, 2007
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Michael Vincent Santini, PHARMD
Title
Pharmacy Manager
Phone
(618) 474-3408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 059.007697 IL
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

4500 College Ave
Alton, IL 62002-5051

Mailing address

4500 College Ave
Alton, IL 62002-5051
Phone (618) 474-3408

Other names 1

  • Illinois Department of Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Elisabeth Ludeman Center292 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4500 College Ave
Alton, IL 62002
Phone (618) 474-3227

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1720132566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025051",
            "telephone_number": "618-474-3408",
            "fax_number": "618-474-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025051",
            "telephone_number": "618-474-3408",
            "fax_number": "618-474-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "SANTINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "618-474-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IL",
            "license": "059.007697",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Department of Human Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Illinois Department of Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.