Organization
COMMUNITY HEALTH IMPROVEMENT CENTER DBA CROSSING HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WEST (CFO)
(217) 877-6127
Entity
Organization
Contact information
Practice address
320 E CENTRAL AVE, DECATUR, IL 62521-6252
(217) 877-4694
Mailing address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 877-4694
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300961830001
—
IL
Enumeration date
10/17/2018
Last updated
01/29/2019
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