Youth Service Bureau Of Illinois Valley

LBN: Youth Service Bureau Of Illinios Valley
Youth Service Bureau Of Illinois Valley is an health care organization with primary practice located at 424 W Madison St , Ottawa IL 61350-2833. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Youth Service Bureau Of Illinios Valley can be contacted via phone (815) 433-3953, or through Vonch, Frank Service via phone (815) 433-3953.

Contact Information

Primary practice address
424 W Madison St Ottawa IL 61350-2833
Phone: (815) 433-3953
Fax: (815) 433-3980
Website:
Map and Directions
Authorized official contact:
Name: Vonch, Frank Service
Phone: (815) 433-3953

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X 28089904 Illinois

Profile Details

NPI number 1609835461
LBN Legal business name Youth Service Bureau Of Illinios Valley
DBA Doing business as Youth Service Bureau Of Illinois Valley
Authorized official Vonch, Frank Service
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Sep 20th, 2022 - about 4 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 1609835461 NPPES
Illinois MEDICAID 1609835461

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