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Export Provider Record NPI 1225389638
Bloomington-Normal Treatment Center, Llc
Organization Subpart: NO
Active
NPI Number1225389638
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Methadone Clinic
Provider Details
NPI1225389638
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-09-25
Last Updated2024-07-29
Authorized OfficialBruce Jarvie
VP, Treasurer
Phone: 2143793300
Mailing Address303 Landmark Dr, Suite 2b
Normal, IL 61761-2153
United States
Phone: (309) 808-2388
📍 View Map
Primary Practice Address303 Landmark Dr Ste 2b
Normal, IL 61761-6164
United States
Phone: (309) 808-2388
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No251S00000X – Community/Behavioral HealthIL-
Yes261QM2800X – Clinic/Center, Methadone Clinic--
No261QR0405X – Clinic/Center, Rehabilitation, Substance Use Disorder--
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About NPI 1225389638

Bloomington-Normal Treatment Center, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1225389638. The primary specialty listed is Clinic/Center, Methadone Clinic. The organization is located in Normal, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-09-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1225389638?

NPI 1225389638 belongs to Bloomington-Normal Treatment Center, Llc, a Clinic/Center, Methadone Clinic in Normal, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1225389638 active?

The current status of NPI 1225389638 in the NPPES registry is Active. The record was last updated on 2024-07-29.

What specialty is NPI 1225389638?

NPI 1225389638 is classified under the taxonomy Clinic/Center, Methadone Clinic. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1225389638?

You can verify NPI 1225389638 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1225389638?

The primary practice address on file for NPI 1225389638 is 303 Landmark Dr Ste 2b, Normal, IL 61761-6164. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1225389638 issued?

NPI 1225389638 was first issued (enumerated) on 2012-09-25. The NPPES record was last updated on 2024-07-29.

Practice Location Map

Bloomington-Normal Treatment Center, Llc is located at 303 Landmark Dr Ste 2b, Normal, IL. Use the map below to find directions or verify the practice location.

📍 303 Landmark Dr Ste 2b, Normal, IL 61761-6164  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Bloomington-Normal Treatment Center, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162