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Organization Active NPI

Idhs-McFarland-Kennedy Hall

Doing business as Andrew McFarland MHC, Kennedy Hall, unit#3061

  • Psychiatric Hospital Unit
  • Springfield, IL
National Provider Identifier
1962537308
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
IDHS-MCFARLAND-KENNEDY HALL
Doing business as
Andrew McFarland MHC, Kennedy Hall, unit#3061
Practice address
901 Southwind Dr
Springfield, IL 62703-5125
Phone
(217) 786-6994
Fax
(217) 786-7167
NPI assigned
Feb 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Debbie Dilello
Title
Quality Manager
Phone
(217) 786-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X IL Primary

Addresses

Primary practice location

901 Southwind Dr
Springfield, IL 62703-5125

Mailing address

901 Southwind Dr
Springfield, IL 62703-5125
Phone (217) 786-6994

Other identifiers 1

IdentifierTypeStateIssuer
000743061001MedicaidIL

Other names 1

  • Andrew McFarland MHC, Kennedy Hall, unit#3061 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Howe Center - Unit 4264292 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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962537308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SOUTHWIND DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035125",
            "telephone_number": "217-786-6994",
            "fax_number": "217-786-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SOUTHWIND DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035125",
            "telephone_number": "217-786-6994",
            "fax_number": "217-786-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDHS-MCFARLAND-KENNEDY HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DILELLO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "QUALITY MANAGER",
        "authorized_official_telephone_number": "217-786-6916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743061001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew McFarland MHC, Kennedy Hall, unit#3061",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.