Organization Active NPI

Human Service Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bud, IL
National Provider Identifier
1881973238
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HUMAN SERVICE CENTER
Practice address
10257 State Route 3
Red Bud, IL 62278-4418
Phone
(618) 282-6233
Fax
(618) 282-6949
NPI assigned
Aug 16, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
HUMAN SERVICE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Amy Bauer
Title
Mis Coordinator
Phone
(618) 282-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10257 State Route 3
Red Bud, IL 62278-4418

Mailing address

115 E Stacey St
Chester, IL 62233-1457
Phone (618) 282-6233

National Provider Directory

National Provider Directory
Tax ID family
Comwell22 organizations share this tax ID, including this one
Part of
Comwell

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1881973238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E STACEY ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331457",
            "telephone_number": "618-282-6233",
            "fax_number": "618-282-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10257 STATE ROUTE 3",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622784418",
            "telephone_number": "618-282-6233",
            "fax_number": "618-282-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SERVICE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMAN SERVICE CENTER",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MIS COORDINATOR",
        "authorized_official_telephone_number": "618-282-6233"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bud, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.