TAZWOOD MENTAL HEALTH CENTER, INC. – NPI #1013186683
Clinic/Center

TAZWOOD MENTAL HEALTH CENTER, INC. is an AHC clinic located in PEKIN, IL. NPPES has assigned the NPI number 1013186683 to TAZWOOD MENTAL HEALTH CENTER, INC. on February 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 8 years ago on Jul 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAZWOOD MENTAL HEALTH CENTER, INC. below.

NPI Profile for
TAZWOOD MENTAL HEALTH CENTER, INC.

NPI Number
1013186683
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TAZWOOD MENTAL HEALTH CENTER, INC.
Primary location
1421 VALLE VISTA BLVD
PEKIN, IL 61554
Phone: (309) 347-5579 Fax: (309) 347-4264
Mailing address
3248 VANDEVER AVE
PEKIN, IL 61554-6257
Phone: (309) 347-5522 Fax: (309) 347-4264
Organization Subpart
No
Authorized Official
DAVE MINGUS
CEO
Phone: (309) 347-5579
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
320800000X
- Community Based Residential Treatment Facility, Mental Illness

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.