| One Hope United | |
|
701 Monroe Ave Charleston IL 61920-2036 | |
| (217) 345-6554 | |
| (217) 345-4611 |
| Full Name | One Hope United |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 701 Monroe Ave, Charleston, Illinois |
| Authorized Official Name and Position | Elizabeth Hopkins (CQIR MEDICAID COORDINATOR) |
| Authorized Official Contact | 8472456556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Hope United 333 S. Wabash Ave Suite 2750 Chicago IL 60604-2036 Ph: (312) 949-5631 | One Hope United 701 Monroe Ave Charleston IL 61920-2036 Ph: (217) 345-6554 |
| NPI Number | 1316268352 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 09/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316268352 | NPI | - | NPPES |
| 2A00IPI004 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253J00000X | Foster Care Agency | 01005311 (Illinois) | Secondary |
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