BEN GORDON CENTER
NPI 1457654295
Clinic/Center - Mental Health (Including Community Mental Health Center) in Malta, IL

Active since December 17, 2010
21193 MALTA RD, BLDG. A - U154, MALTA, IL 60150(815) 756-4875(815) 756-2944 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ben Gordon Center NPPES

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

BEN GORDON CENTER (NPI 1457654295) is a healthcare organization registered as a mental health (including community mental health center) in Malta, Illinois and active in the NPI registry since December 2010. The organization lists Michael Flora, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1457654295
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBEN GORDON CENTER
Location Address21193 MALTA RD, BLDG. A - U154Malta, IL 60150-9600
Mailing Address21193 Malta Rd, Bldg. A - U154Malta, IL 60150-9600 · (815) 756-4875 · Fax (815) 756-2944
Fax(815) 756-2944
Organization SubpartYes
Authorized OfficialMichael FloraCeo/president · (815) 756-4875
Enumeration DateDecember 17, 2010
NPI 1457654295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in IL · A0254001A
21193 MALTA RD, Malta, IL 60150

Other Identifiers 1

Medicare PIN207498IL

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.

Clinic/Center (Rural Health)
21193 MALTA RD
MALTA, IL 60150
Physician Assistant
21193 MALTA RD
MALTA, IL 60150
Clinic/Center (Rural Health)
21193 MALTA RD
MALTA, IL 60150

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 Ben Gordon Center's NPI number?

The NPI number for Ben Gordon Center is 1457654295. It was assigned to this organization in the NPPES registry on December 17, 2010.

Where is Ben Gordon Center located?

Ben Gordon Center is located at 21193 Malta Rd Bldg. A - U154, Malta, IL 60150. The listed phone number is (815) 756-4875.

What is Ben Gordon Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Ben Gordon Center was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.