Chaddock

LBN: Chaddock
Chaddock is an health care organization with primary practice located at 2272 Chestnut St , Quincy IL 62301-2215. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Chaddock can be contacted via phone (217) 222-0034, or through Patton, Kristen via phone (217) 222-0034.

Contact Information

Primary practice address
2272 Chestnut St Quincy IL 62301-2215
Phone: (217) 222-0034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patton, Kristen
Phone: (217) 222-0034

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 004048-12 Illinois

Profile Details

NPI number 1225443880
LBN Legal business name Chaddock
DBA Doing business as
Authorized official Patton, Kristen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2014
Last updated Jun 23rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225443880 NPPES
Illinois MEDICAID 3A00-IPI-019

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