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Northeastern Center

Community/Behavioral Health

JERRY HOLLISTER
NPI: 1174685358Kendallville, Indiana, 46755(260) 347-2453

About Northeastern Center

Northeastern Center is a healthcare organization providing Community/Behavioral Health services, registered under National Provider Identifier (NPI) number 1174685358. The authorized official for Northeastern Center is JERRY HOLLISTER.

The organization is headquartered at 220 S MAIN ST, Kendallville, Indiana 46755. The main office can be reached at (260) 347-2453. Northeastern Center has been NPI-registered since 2006.

Locations & Contact

Primary Location

Address
220 S MAIN ST
City
Kendallville
State
Indiana
ZIP
46755-1718
Phone
(260) 347-2453
Fax
(260) 347-2456
View on Google Maps

Authorized Official

Name
JERRY HOLLISTER

Mailing Address

Address
PO BOX 817
City
KENDALLVILLE
State
IN
ZIP
467550817

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Community/Behavioral Health
Classification
Community/Behavioral Health
Taxonomy Code
251S00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Northeastern Center's NPI number?
Northeastern Center's National Provider Identifier (NPI) is 1174685358. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Northeastern Center specialize in?
Northeastern Center specializes in Community/Behavioral Health.
Where is Northeastern Center located?
Northeastern Center practices at 220 S MAIN ST, Kendallville, Indiana 46755. You can reach them by phone at (260) 347-2453.
Does Northeastern Center accept Medicare?
Based on available data, Northeastern Center is not currently enrolled in the Medicare program.
Does Northeastern Center offer telehealth or virtual visits?
Northeastern Center does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Northeastern Center holds NPI 1174685358, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.