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Contact Information

CHESTNUT HEALTH SYSTEMS, INC.
2148 VADALABENE DR
MARYVILLE, IL62062-5632
 Phone: 618-877-4420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for CHESTNUT HEALTH SYSTEMS, INC.

NPI Number 1467174177
LBN Legal business name CHESTNUT HEALTH SYSTEMS, INC.
Authorized official MEGAN TAYLOR - (MANAGED CARE SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2022
Last updated 03/16/2023 - About 3 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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