Rosecrance Ric

LBN: Rosecrance Inc
Rosecrance Ric is an health care organization with primary practice located at 526 W State St , Rockford IL 61101-1214. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Rosecrance Inc can be contacted via phone (815) 391-1000, or through Eaton, Phil via phone (815) 391-1000.

Contact Information

Primary practice address
526 W State St Rockford IL 61101-1214
Phone: (815) 391-1000
Fax: (815) 316-4726
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Phil
Phone: (815) 391-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1699106468
LBN Legal business name Rosecrance Inc
DBA Doing business as Rosecrance Ric
Authorized official Eaton, Phil
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2013
Last updated Apr 27th, 2018 - about 8 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 1699106468 NPPES
Illinois MEDICAID 04081
Illinois MEDICAID A-0601-0045-A

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