Chestnut Health Systems Inc

LBN: Chestnut Health Systems Inc
Chestnut Health Systems Inc is an health care organization with primary practice located at 1003 Martin Luther King Dr , Bloomington IL 61701-1429. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Chestnut Health Systems Inc can be contacted via phone (309) 827-6026, or through Taylor, Megan Marie via phone (888) 924-3786.

Contact Information

Primary practice address
1003 Martin Luther King Dr Bloomington IL 61701-1429
Phone: (309) 827-6026
Fax: (309) 820-1386
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Megan Marie
Phone: (888) 924-3786

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1366431686
LBN Legal business name Chestnut Health Systems Inc
DBA Doing business as
Authorized official Taylor, Megan Marie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 16th, 2023 - about 3 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 1366431686 NPPES
Illinois MEDICAID 04023
Illinois MEDICAID C/A-0126-0007-A

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