Provider Demographics
NPI:1669019212
Name:CASS COUNTY MENTAL HEALTH
Entity Type:Organization
Organization Name:CASS COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CLAIMS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-323-2980
Mailing Address - Street 1:60 E CENTRAL PARK PLZ
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62650-2071
Mailing Address - Country:US
Mailing Address - Phone:217-800-6622
Mailing Address - Fax:
Practice Address - Street 1:60 E CENTRAL PARK PLZ
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:IL
Practice Address - Zip Code:62650-2071
Practice Address - Country:US
Practice Address - Phone:217-800-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)