SHELBY COUNTY COMMUNITY SERVICE INC
NPI 1568518629
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shelbyville, IL

NPI Status: Active since January 25, 2007

Contact Information

249 N MORGAN ST
SHELBYVILLE, IL
ZIP 62565
Phone: (217) 774-2113
Fax: (217) 774-2256

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SHELBY COUNTY COMMUNITY SERVICE INC

This page provides the complete NPI Profile along with additional information for Shelby County Community Service Inc, a provider established in Shelbyville, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1568518629 assigned on January 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Mark Magnussen (Executive Director)

NPI
1568518629
Provider Name
SHELBY COUNTY COMMUNITY SERVICE INC
Entity Type
Organization
Location Address
249 N MORGAN ST SHELBYVILLE, IL 62565
Location Phone
(217) 774-2113
Location Fax
(217) 774-2256
Mailing Address
1810 W SOUTH 3RD ST SHELBYVILLE, IL 62565
Mailing Phone
(217) 774-5587
Mailing Fax
(217) 774-2256
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
01-23-2025
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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)
1251S00000XAgencies

Community/Behavioral Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK MAGNUSSEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(217) 774-5587

Reviews for SHELBY COUNTY COMMUNITY SERVICE INC

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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.
1568518629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281011664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 1 + 1 + 6 + 6 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1568518629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396933271 CATHERINE ELIZABETH YUTMEYER PA-C
Individual
Physician Assistant249 N MORGAN ST
SHELBYVILLE, IL 62565
(217) 774-2900
1790400497 ALICIA SHAIN
Individual
Counselor (Addiction (Substance Use Disorder))249 N MORGAN ST
SHELBYVILLE, IL 62565
(217) 774-1400
1154571701SHELBY COUNTY COMMUNITY SERVICES INC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)249 N MORGAN ST
SHELBYVILLE, IL 62565
(217) 774-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568518629, enumerated in the NPI registry as an "organization" on January 25, 2007

The provider is located at 249 N Morgan St Shelbyville, Il 62565 and the phone number is (217) 774-2113

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on January 25, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.