ELM CITY CENTER
NPI 1104061662
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, IL
Active since December 11, 2008
About Elm City Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELM CITY CENTER (NPI 1104061662) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Illinois and active in the NPI registry since December 2008. The organization lists Mari A Gosnell, President/ceo, as its authorized official.
NPPES Registry Identity
NPI1104061662
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameELM CITY REHABILITATION CENTER, INC.
Location Address575 BROOKLYN AVEJacksonville, IL 62650-2926
Mailing Address1314 W Walnut StJacksonville, IL 62650-1148 · (217) 245-9504 · Fax (217) 245-2350
Phone(217) 245-9504
Fax(217) 245-2350
Organization SubpartNo
Authorized OfficialMari A GosnellPresident/ceo · (217) 245-9504
Enumeration DateDecember 11, 2008
Last NPPES UpdateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1104061662 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
575 BROOKLYN AVE, Jacksonville, IL 62650
Other Names 1
Doing Business AsElm City Center
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104061662, enumerated as an "organization" on December 11, 2008.
The provider is located at 575 BROOKLYN AVE JACKSONVILLE, IL 62650 and the phone number is (217) 245-9504.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
