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Contact Information

CHADDOCK ATTACHMENT AND TRAUMA SERVICES
100 W BUCHANAN ST
CARTHAGE, IL62321-1249
 Phone: 217-222-0034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for CHADDOCK ATTACHMENT AND TRAUMA SERVICES

NPI Number 1093594483
LBN Legal business name CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Authorized official KRISTEN PATTON - (DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/25/2023
Last updated 09/25/2023 - About 3 years ago
Identifiers
IL Medicaid 3A00-IPI-019
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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