Organization
UNIT 4462 CEDAR HALL UPPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUXE BROWN (REIMBURSEMENT OFFICER II)
(618) 833-5161
Entity
Organization
Contact information
Practice address
1000 N MAIN ST, ANNA, IL 62906-1652
(618) 833-5161
Mailing address
1000 N MAIN ST, ANNA, IL 62906-1652
(618) 833-5161
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14G045
—
IL
Enumeration date
03/09/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us