TAZWOOD CENTER FOR WELLNESS
NPI 1538540190
Clinic/Center - Mental Health (Including Community Mental Health Center) in East Peoria, IL
NPI Status: Active since June 09, 2015
Contact Information
601 TAYLOR ST
EAST PEORIA, IL
ZIP 61611
Phone: (309) 347-5522
Fax: (309) 347-4264
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About TAZWOOD CENTER FOR WELLNESS
Tazwood Center For Wellness is a provider established in East Peoria, Illinois operating as a Clinic/center with a focus in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1538540190 assigned on June 2015. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Tazwood Center For Wellness. The authorized official of this NPI record is David W. Mingus Ma (Ceo)
- NPI
- 1538540190
- Provider Legal Name
- TAZWOOD MENTAL HEALTH CENTER, INC.
- Other Organization Name
- TAZWOOD CENTER FOR WELLNESS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 601 TAYLOR ST EAST PEORIA, IL 61611
- Location Phone
- (309) 347-5522
- Location Fax
- (309) 347-4264
- Mailing Address
- 3248 VANDEVER AVE PEKIN, IL 61554
- Mailing Phone
- (309) 347-5522
- Mailing Fax
- (309) 347-4264
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-09-2015
- Last Update Date
- 07-12-2018
- Code Navigator
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 949000 | MEDICAID (05) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 5 | 4 | 0 | 1 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 10 | 4 | 0 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 0 + 4 + 0 + 1 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1538540190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417159971 | EAST PEORIA ELEMENTARY DIST 86 Organization | Local Education Agency (LEA) | 601 TAYLOR ST EAST PEORIA, IL 61611 (309) 347-5167 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538540190, enumerated in the NPI registry as an "organization" on June 09, 2015
The provider is located at 601 Taylor St East Peoria, Il 61611 and the phone number is (309) 347-5522
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 09, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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