NPIMap

Organization Active NPI

Tazewell County Resource Centers Inc

  • Adult Mental Health Clinic/Center
  • Morton, IL
National Provider Identifier
1871131953
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TAZEWELL COUNTY RESOURCE CENTERS INC
Doing business as
TCRC
Practice address
501 E Highland St
Morton, IL 61550-9501
Phone
(309) 291-0108
Fax
(309) 291-0116
NPI assigned
Dec 19, 2019
Organization subpart
Yes
Parent organization
TAZEWELL COUNTY RESOURCE CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
James Frederick Durdel
Title
President/Ceo
Phone
(309) 347-7148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

501 E Highland St
Morton, IL 61550-9501

Mailing address

501 E Highland St
Morton, IL 61550-9501
Phone (309) 291-0108

Other names 1

  • TCRC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tazewell Cnty Resource Inc5 organizations share this tax ID, including this one
Part of
Tazewell Cnty Resource Inc

Other organizations with this tax ID 4

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

Locations

501 E Highland St
Morton, IL 61550
Phone (309) 291-0108

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1871131953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HIGHLAND ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509501",
            "telephone_number": "309-291-0108",
            "fax_number": "309-291-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HIGHLAND ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509501",
            "telephone_number": "309-291-0108",
            "fax_number": "309-291-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZEWELL COUNTY RESOURCE CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAZEWELL COUNTY RESOURCE CENTERS INC",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "DURDEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "309-347-7148"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.