Organization
VINE STREET CLINICAL ASSOCIATES, LLC
Active
Organization
VINE STREET CLINICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J TRAVIS DOWELL (VICE PRESIDENT MPS AND OPERATIONS)
(217) 788-3342
Entity
Organization
Contact information
Practice address
3225 HEDLEY RD, SPRINGFIELD, IL 62711-6248
(217) 726-7300
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
Update your record
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 at https://nppes.cms.hhs.gov.
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