National Provider Identifier Database

JAMIESON COMMUNITY CENTER
Voluntary or Charitable


Contact Information

JAMIESON COMMUNITY CENTER
1025 S 2ND ST
MONMOUTH, IL61462-2715
Phone: 309-734-4251
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for JAMIESON COMMUNITY CENTER

NPI Number 1093241960
Legal business name
LBN
JAMIESON COMMUNITY CENTER
Authorized official NANCY MOWEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/11/2017
Last updated 05/11/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 187-26-2017
  • IL Other: 20150720755779 IMPACT - ILLINOIS PROVIDER ENROLLMENT SYSTEM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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