Organization · Type 2 NPI
Chestnut Health Systems, Inc.
Federally Qualified Health Center (FQHC) · Maryville, IL
NPI number
1467174177
Active
Practice location
2148 Vadalabene Dr
Maryville, IL 62062-5632
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
16 other providers at this address
- Chestnut Health SystemsSubstance Abuse Rehabilitation Facility Maryville, IL NPI 1801069059
- Chestnut Health Systems Inc.Substance Abuse Rehabilitation Facility Maryville, IL NPI 1134807357
- Chestnut Health Systems Inc.Substance Abuse Rehabilitation Facility Maryville, IL NPI 1609554815
- Chestnut Health Systems, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Maryville, IL NPI 1043587348
- Amy D. Morby, L.C.S.W.Clinical Social Worker Maryville, IL NPI 1538300199
- Courtney L. HuppClinical Social Worker Maryville, IL NPI 1750719142
- Daniel Douglas HutchisonAddiction (Substance Use Disorder) Counselor Maryville, IL NPI 1568719797
- Jamie Lee Garman, BA, CARSAddiction (Substance Use Disorder) Counselor Maryville, IL NPI 1518232891
- Kolin Smith, B.S. CADCAddiction (Substance Use Disorder) Counselor Maryville, IL NPI 1497115315
- Larry Copp, M.S., CADCCounselor Maryville, IL NPI 1750740544
- Mackenzie R. Pherigo, LCSW, CADCClinical Social Worker Maryville, IL NPI 1801002142
- Nicholas Bauder, APNFamily Nurse Practitioner Maryville, IL NPI 1275216699
About NPI 1467174177
Chestnut Health Systems, Inc.'s National Provider Identifier is 1467174177, issued on Sep 19, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Maryville, IL. The record was last updated on Mar 16, 2023.