Organization
COMMUNITY HEALTH IMPROVEMENT CENTER
Active
Other names
Crossing Healthcare at Heritage Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS L WEST (FINANCE DIRECTOR / CFO)
(217) 877-6127
Entity
Organization
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 420-4709
Mailing address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 877-9117
(217) 877-3082
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
05/17/2018
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