BEN GORDON CENTER – NPI #1700037512
Clinic/Center

BEN GORDON CENTER is an AHC clinic located in DEKALB, IL. NPPES has assigned the NPI number 1700037512 to BEN GORDON CENTER on October 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BEN GORDON CENTER is also known by the name KID CARE SERVICES. 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)

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 BEN GORDON CENTER below.

NPI Profile for
BEN GORDON CENTER

NPI Number
1700037512
Enumeration Date

(more than 17 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
BEN GORDON CENTER
Other Name: KID CARE SERVICES
Primary location
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone: (815) 756-4875 Fax: (815) 756-2944
Mailing address
Same as primary location
Organization Subpart
Yes - BEN GORDON CENTER is subpart of another organization.
Authorized Official
KIMBERLY KRUPPENBACHER
CREDENTIALING COORDINATOR
Phone: (815) 756-4875
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)		 IL A0254001A

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.