JAMIESON COMMUNITY CENTER; NPI #1093241960

Contact Information

JAMIESON COMMUNITY CENTER

1025 S 2ND ST
MONMOUTH, IL 61462-2715

Phone: 309-734-4251
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for JAMIESON COMMUNITY CENTER

NPI # 1093241960

LBN Legal business name JAMIESON COMMUNITY CENTER

Authorized official NANCY MOWEN - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/11/2017

Last updated 05/11/2017 - About 9 years ago

Identifiers

IL	License #	187-26-2017
IL	Other	20150720755779	IMPACT - ILLINOIS PROVIDER ENROLLMENT SYSTEM

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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JAMIESON COMMUNITY CENTER

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for JAMIESON COMMUNITY CENTER

Reviews for JAMIESON COMMUNITY CENTER