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ILLINOIS MEDICAID-SUBSTANCE ABUSE MONMOUTH
NPI 1427425248
Clinic/Center - Rehabilitation, Substance Use Disorder in Monmouth, IL

Active since August 27, 2015
301 INDUSTRIAL PARK RD, MONMOUTH, IL 61462(309) 734-9461 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2019, Apr 12, 2018 (2 updates tracked since 2018).

About Illinois Medicaid-substance Abuse Monmouth NPPES

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

ILLINOIS MEDICAID-SUBSTANCE ABUSE MONMOUTH (NPI 1427425248) is a healthcare organization registered as a rehabilitation, substance use disorder in Monmouth, Illinois and active in the NPI registry since August 2015. The organization lists Bill A Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427425248
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameILLINOIS MEDICAID-SUBSTANCE ABUSE MONMOUTH
Location Address301 INDUSTRIAL PARK RDMonmouth, IL 61462-9794
Mailing Address301 Industrial Park RdMonmouth, IL 61462-9794 · (309) 734-9461
Phone(309) 734-9461
Organization SubpartYesParent: Bridgeway Inc
Authorized OfficialBill A NelsonCeo · (309) 344-4200
Enumeration DateAugust 27, 2015
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1427425248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License A-0118-0011-A (IL)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
301 INDUSTRIAL PARK RD, Monmouth, IL 61462
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. LENNA BETH BURNETT LCPC
Counselor (Professional)
301 INDUSTRIAL PARK RD
MONMOUTH, IL 61462
Warren County (309) 734-9461
BRIDGEWAY INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
301 INDUSTRIAL PARK RD
MONMOUTH, IL 61462
Warren County (309) 734-9461
MS. RUTH L DENNIS MHP,RN
Registered Nurse
301 INDUSTRIAL PARK RD
MONMOUTH, IL 61462
Warren County (309) 734-9461

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 Illinois Medicaid-Substance Abuse Monmouth's NPI number?

The NPI number for Illinois Medicaid-Substance Abuse Monmouth is 1427425248. It was assigned to this organization in the NPPES registry on August 27, 2015.

Where is Illinois Medicaid-Substance Abuse Monmouth located?

Illinois Medicaid-Substance Abuse Monmouth is located at 301 Industrial Park Rd, Monmouth, IL 61462. The listed phone number is (309) 734-9461.

What is Illinois Medicaid-Substance Abuse Monmouth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Illinois Medicaid-Substance Abuse Monmouth was last updated on August 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.