HUMAN SERVICE CENTER – NPI #1770874984
Clinic/Center

HUMAN SERVICE CENTER is an AHC clinic located in PEORIA, IL. NPPES has assigned the NPI number 1770874984 to HUMAN SERVICE CENTER on April 21, 2011. 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 Dec 12, 2017. 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 HUMAN SERVICE CENTER below.

NPI Profile for
HUMAN SERVICE CENTER

NPI Number
1770874984
Enumeration Date

(more than 15 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
HUMAN SERVICE CENTER
Primary location
3500 W NEW LEAF LN
PEORIA, IL 61615-3366
Phone: (309) 671-8005 Fax:
Mailing address
600 FAYETTE ST PO BOX 1346
PEORIA, IL 61654-1346
Phone: (309) 671-8005 Fax: (309) 671-8039
Organization Subpart
No
Authorized Official
MICHAEL KENNEDY
PRESIDENT/CEO
Phone: (309) 671-8005
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)
251S00000X
- Community/Behavioral Health
IL A-0324-0010-A

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.