ROSECRANCE INC – NPI #1427406859
Clinic/Center

ROSECRANCE INC is an AHC clinic located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1427406859 to ROSECRANCE INC on May 26, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Sep 05, 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 ROSECRANCE INC below.

NPI Profile for
ROSECRANCE INC

NPI Number
1427406859
Enumeration Date

(more than 10 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
ROSECRANCE INC
Primary location
1801 FOX DR
CHAMPAIGN, IL 61820
Phone: (815) 391-1000 Fax: (815) 316-4726
Mailing address
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone: (815) 391-1000 Fax: (815) 316-4726
Organization Subpart
No
Authorized Official
PHIL EATON
CEO / PRESIDENT
Phone: (815) 391-1000
Updated
Identifiers

Identifiers for ROSECRANCE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL04081
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)

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.