Organization Active NPI

Iroquois Mental Health Center

  • Community/Behavioral Health Agency
  • Kankakee, IL
National Provider Identifier
1780188367
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IROQUOIS MENTAL HEALTH CENTER
Practice address
70 Meadowview Ctr Ste 100
Kankakee, IL 60901-2047
Phone
(815) 432-5241
Fax
(815) 432-4537
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Kim Fear
Title
Assoc. Exec Dir of HR and Finance
Phone
(815) 432-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

70 Meadowview Ctr Ste 100
Kankakee, IL 60901-2047

Mailing address

PO Box 322
Watseka, IL 60970-0322
Phone (815) 432-5241

National Provider Directory

National Provider Directory
Tax ID family
Iroquois Mental Health Center31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1780188367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609700322",
            "telephone_number": "815-432-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR STE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-432-5241",
            "fax_number": "815-432-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "FEAR",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ASSOC. EXEC DIR OF HR AND FINANCE",
        "authorized_official_telephone_number": "815-432-5241"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.