| The Center For Psychiatric Health | |
|
557 N Westgate Ave Jacksonville IL 62650-1156 | |
| (217) 245-7275 | |
| (217) 245-7427 |
| Full Name | The Center For Psychiatric Health |
|---|---|
| Speciality | Psychologist |
| Location | 557 N Westgate Ave, Jacksonville, Illinois |
| Authorized Official Name and Position | Larry Ragel (CFO/VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 2174795527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Psychiatric Health Po Box 1977 Springfield IL 62705-1977 Ph: (217) 544-6464 | The Center For Psychiatric Health 557 N Westgate Ave Jacksonville IL 62650-1156 Ph: (217) 245-7275 |
| NPI Number | 1649210444 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649210444 | NPI | - | NPPES |
| 06932018 | Other | IL | BLUE CROSS BLUE SHIELD |
| CB3741 | Other | IL | RAILROAD MEDICARE |
| 681484 | Other | IL | HEALTHLINK PROVIDER # |
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