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612 Washington St Beardstown IL 62618-1541 | |
| (217) 323-5367 | |
| (217) 323-3791 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 612 Washington St, Beardstown, Illinois |
| Authorized Official Name and Position | Greerann Lovette Sims (BUSINESS MANAGER) |
| Authorized Official Contact | 8473901422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1001 E Touhy Ave Ste 50 Des Plaines IL 60018-5817 Ph: (847) 390-1422 | 612 Washington St Beardstown IL 62618-1541 Ph: (217) 323-5367 |
| NPI Number | 1285496497 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285496497 | NPI | - | NPPES |
| 04092 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Parkview Housing Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Clendenin St, Beardstown, IL 62618 Phone: 217-323-3230 | |
Cass County Mental Health Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Bridgeview Bldg C, Beardstown, IL 62618 Phone: 217-323-1239 Fax: 217-323-4036 | |
Cass County Mental Health Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Clendenin St Bldg A, Beardstown, IL 62618 Phone: 217-323-3230 Fax: 217-323-3191 | |
Bridgeview Housing Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Bridgeview, Beardstown, IL 62618 Phone: 217-323-1239 | |