GALENA CLINIC, INC.; NPI #1073067138

Contact Information

GALENA CLINIC, INC.

939 GALENA SQUARE DR
GALENA, IL 61036

Phone: 815-777-1300
Fax: 815-777-1308
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X

Indicates primary specialty

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NPI Profile & details for GALENA CLINIC, INC.

NPI Number 1073067138

LBN Legal business name GALENA CLINIC, INC.

Authorized official KENNETH DAVIS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/06/2016

Last updated 06/05/2018 - About 8 years ago

Identifiers

IL	License #	14011
IL	Other	14011	MENTAL HEALTH

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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GALENA CLINIC, INC.

Contact Information

Specialty

Mental Health (Including Community Mental Health Center)

Adolescent and Children Mental Health

Adult Mental Health

NPI Profile & details for GALENA CLINIC, INC.

Reviews for GALENA CLINIC, INC.