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ARROWHEAD RANCH
NPI 1407026511
Clinic/Center - Community Health in Coal Valley, IL

Active since March 04, 2008
12200 104TH ST, COAL VALLEY, IL 61240(309) 799-7044 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2020, Jun 16, 2020 (2 updates tracked since 2020).

About Arrowhead Ranch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARROWHEAD RANCH (NPI 1407026511) is a healthcare organization registered as a community health in Coal Valley, Illinois and active in the NPI registry since March 2008. The organization lists Chelease Machay Parks, Director Of State Programs, as its authorized official.

NPPES Registry Identity

NPI1407026511
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameARROWHEAD RANCH
Location Address12200 104TH STCoal Valley, IL 61240-9712
Mailing Address12200 104th St, P.o. Box 370Coal Valley, IL 61240-9712 · (309) 799-7044
Phone(309) 799-7044
Organization SubpartNo
Authorized OfficialChelease Machay ParksDirector Of State Programs · (309) 799-7044
Enumeration DateMarch 4, 2008
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1407026511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
12200 104TH ST, Coal Valley, IL 61240
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE WILLIAMS QMHP
Counselor
12200 104TH ST
COAL VALLEY, IL 61240
Rock Island County (309) 799-7044
NAOMI SANDERSON LMSW
Social Worker
12200 104TH ST
COAL VALLEY, IL 61240
Rock Island County (309) 799-7044
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
12200 104TH ST
COAL VALLEY, IL 61240
Rock Island County (309) 799-7044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arrowhead Ranch's NPI number?

The NPI number for Arrowhead Ranch is 1407026511. It was assigned to this organization in the NPPES registry on March 4, 2008.

Where is Arrowhead Ranch located?

Arrowhead Ranch is located at 12200 104th St, Coal Valley, IL 61240. The listed phone number is (309) 799-7044.

What is Arrowhead Ranch's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Arrowhead Ranch was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.