| Rosecrance Inc | |
|
801 N Walnut St Champaign IL 61820-3055 | |
| (815) 391-1000 | |
| (815) 316-4726 |
| Full Name | Rosecrance Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 801 N Walnut St, Champaign, Illinois |
| Authorized Official Name and Position | Phil Eaton (CEO / PRESIDENT) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Inc 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | Rosecrance Inc 801 N Walnut St Champaign IL 61820-3055 Ph: (815) 391-1000 |
| NPI Number | 1437507811 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437507811 | NPI | - | NPPES |
| 1801-0003 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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