| Jefferson County Comprehensive | |
|
16342 N Il Hwy 37 Mt Vernon IL 62864 | |
| (618) 242-1510 | |
| (618) 242-0958 |
| Full Name | Jefferson County Comprehensive |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16342 N Il Hwy 37, Mt Vernon, Illinois |
| Authorized Official Name and Position | Dan Boehmer (C.E.O.) |
| Authorized Official Contact | 6182421510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson County Comprehensive Po Box 428 Mt Vernon IL 62864 Ph: (618) 242-1510 | Jefferson County Comprehensive 16342 N Il Hwy 37 Mt Vernon IL 62864 Ph: (618) 242-1510 |
| NPI Number | 1972533990 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972533990 | NPI | - | NPPES |
| 372631 | Other | HEALTHLINK | |
| 0004115177 | Other | IL | BCBS |
| 497770000 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mt Vernon Community Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2920 Veterans Parkway, Mt Vernon, IL 62864 Phone: 618-244-6544 Fax: 618-244-6577 | |
Dynamic Counseling And Consultation Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3600 S Water Tower Pl, Mt Vernon, IL 62864 Phone: 314-719-6263 Fax: 800-335-4761 | |
Lutheran Child And Family Service Of Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 S. 42nd St, Mt Vernon, IL 62864 Phone: 618-242-3284 Fax: 618-242-3288 | |
Substance Abuse Outpatient Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16338 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1994 Fax: 618-242-6392 |