ARROWHEAD RANCH; NPI #1407026511

Contact Information

ARROWHEAD RANCH

12200 104TH ST
COAL VALLEY, IL 61240-9712

Phone: 309-799-7044
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Health	261QC1500X
Community/Behavioral Health	251S00000X

Indicates primary specialty

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NPI Profile & details for ARROWHEAD RANCH

NPI Number	`1407026511`
LBN Legal business name	ARROWHEAD RANCH
Authorized official	CHELEASE PARKS - (DIRECTOR OF STATE PROGRAMS)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/04/2008
Last updated	09/17/2020 - About 6 years ago
Identifiers	n/a

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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