Organization
ROSECRANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W. EATON MASTER OF SCIENCE (PRESIDENT/CEO)
(815) 391-0100
Entity
Organization
Contact information
Practice address
215 N. COURT STREET, METHODIST CHURCH, ROCKFORD, IL 61103-6802
(815) 391-1000
(815) 391-5040
Mailing address
1601 N UNIVERSITY DR, ROCKFORD, IL 61107-5317
(815) 391-1000
(815) 394-5041
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
A-0601-0026-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0601-0026-A
—
IL
Enumeration date
06/25/2009
Last updated
06/25/2009
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