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Contact Information

STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT
1013 ADAMS STREET
OTTAWA, IL61354-4304
 Phone: 815-434-0857
 Fax: 815-434-2260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT

NPI # 1063544401
LBN Legal business name STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT
Authorized official PAULA WILLIAMSON - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 06/19/2018 - About 8 years ago
Identifiers
IL Other 5015093 BCBS
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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