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Organization
SPRINGFIELD HOSPITAL, INC.
Active
Organization
SPRINGFIELD HOSPITAL, INC.
Active
Other names
Lincoln Prairie Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRSTINE STATZ (CFO)
(217) 585-1180
Entity
Organization
Contact information
Practice address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Mailing address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149012639
LICENSED CLINICAL SOCIAL WORKER MASTERS
IL
Enumeration date
01/10/2012
Last updated
01/10/2012
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