Organization
CASS COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN JEAN HANCE (BILLING CLERK)
(217) 323-2980
Entity
Organization
Contact information
Practice address
121 E 2ND ST, BEARDSTOWN, BEARDSTOWN, IL 62618-1263
(217) 323-2980
(217) 323-3731
Mailing address
121 E 2ND ST, BEARDSTOWN, BEARDSTOWN, IL 62618-1263
(217) 323-2980
(217) 323-3731
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075498
—
IL
01
—
932002
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/03/2008
Last updated
03/10/2020
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