Organization
PRAIRIE CENTER HEALTH SYSTEMS
Active
Parent organization
PRAIRIE CENTER HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE CENTER HEALTH SYSTEMS
Authorized official
GAIL RANEY (CEO)
(217) 693-3021
Entity
Organization
Contact information
Practice address
122 W HILL ST, CHAMPAIGN, IL 61820-3519
(217) 356-7576
(217) 356-6571
Mailing address
718 W KILLARNEY ST, URBANA, IL 61801-1015
(217) 328-4500
(217) 239-1129
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A06060002A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06060001
—
IL
05
—
06060002
—
IL
Enumeration date
08/04/2016
Last updated
08/04/2016
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