| Alton Mental Health Center - Locust Unit | |
|
4500 College Ave Alton IL 62002 | |
| (618) 474-3800 | |
| Not Available |
| Full Name | Alton Mental Health Center - Locust Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4500 College Ave, Alton, Illinois |
| Authorized Official Name and Position | Tonya Piephoff (HOSPITAL ADMINISTRATOR) |
| Authorized Official Contact | 6184743473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alton Mental Health Center - Locust Unit 4500 College Ave Alton IL 62002-5051 Ph: () - | Alton Mental Health Center - Locust Unit 4500 College Ave Alton IL 62002 Ph: (618) 474-3800 |
| NPI Number | 1932244860 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932244860 | NPI | - | NPPES |
| 000194572001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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