| Mental Health Centers Of Western Illinois | |
|
607 Buchanan St Carthage IL 62321-1401 | |
| (217) 773-3325 | |
| (217) 773-2425 |
| Full Name | Mental Health Centers Of Western Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 607 Buchanan St, Carthage, Illinois |
| Authorized Official Name and Position | Janelle Bowen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2177733325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Centers Of Western Illinois 700 Se Cross St Mount Sterling IL 62353-1561 Ph: (217) 773-3325 | Mental Health Centers Of Western Illinois 607 Buchanan St Carthage IL 62321-1401 Ph: (217) 773-3325 |
| NPI Number | 1023300282 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023300282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mental Health Centers Of Western Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Randolph St Bldg D, Carthage, IL 62321 Phone: 217-773-3325 Fax: 217-773-2425 | |
Mental Health Centers Of Western Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Randolph St Bldg C, Carthage, IL 62321 Phone: 217-773-3325 Fax: 217-773-2425 | |
Mental Health Centers Of Western Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Randolph St Bldg B, Carthage, IL 62321 Phone: 217-773-3325 Fax: 217-773-2425 | |
Mental Health Centers Of Western Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Randolph St Bldg A, Carthage, IL 62321 Phone: 217-773-3325 Fax: 217-773-2425 |