Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
ROSECRANCE
Active
Organization
ROSECRANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP EATON (CEO / PRESIDENT)
(815) 391-1000
Entity
Organization
Contact information
Practice address
1422 20TH ST, ROCKFORD, IL 61104-3519
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04081
—
IL
Enumeration date
08/31/2011
Last updated
04/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up