| Shelby County Community Service Inc | |
|
249 N Morgan St Shelbyville IL 62565-1672 | |
| (217) 774-2113 | |
| (217) 774-2256 |
| Full Name | Shelby County Community Service Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 249 N Morgan St, Shelbyville, Illinois |
| Authorized Official Name and Position | Mark Magnussen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2177745587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby County Community Service Inc 1810 W South 3rd St Shelbyville IL 62565-9595 Ph: (217) 774-5587 | Shelby County Community Service Inc 249 N Morgan St Shelbyville IL 62565-1672 Ph: (217) 774-2113 |
| NPI Number | 1568518629 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 3173684354 |
|---|---|
| Medicare Enrollment ID | O20081205000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568518629 | NPI | - | NPPES |
| Provider Name | Choudary V Kavuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770642159 PECOS PAC ID: 8325019672 Enrollment ID: I20040802001172 |
Shelby County Community Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 S Heinlein Dr, Shelbyville, IL 62565 Phone: 217-774-2113 Fax: 217-774-2256 | |
Shelby County Community Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 W South 3rd St, Shelbyville, IL 62565 Phone: 217-774-5587 Fax: 217-774-5202 | |
In Bloom Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 W North 9th St, Shelbyville, IL 62565 Phone: 765-404-4002 Fax: 217-615-1142 | |
Shelby County Community Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N Cedar St, Shelbyville, IL 62565 Phone: 217-774-1029 Fax: 217-774-1059 |