Organization
ARROWHEAD RANCH
Active
Organization
ARROWHEAD RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELEASE MACHAY PARKS ED. D. (DIRECTOR OF STATE PROGRAMS)
(309) 799-7044
Entity
Organization
Contact information
Practice address
12200 104TH ST, COAL VALLEY, IL 61240-9712
(309) 799-7044
Mailing address
12200 104TH ST, P.O. BOX 370, COAL VALLEY, IL 61240-9712
(309) 799-7044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
09/17/2020
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