ELM CITY REHABILITATION CENTER, INC.; NPI #1104061662

Contact Information

ELM CITY REHABILITATION CENTER, INC.

575 BROOKLYN AVE
JACKSONVILLE, IL 62650-2926

Phone: 217-245-9504
Fax: 217-245-2350
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Case Management	251B00000X
Community/Behavioral Health	251S00000X

Indicates primary specialty

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NPI Profile & details for ELM CITY REHABILITATION CENTER, INC.

NPI #	`1104061662`
LBN Legal business name	ELM CITY REHABILITATION CENTER, INC.
Authorized official	MARI GOSNELL - (PRESIDENT/CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/11/2008
Last updated	11/15/2024 - More than a year 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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