Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Illinois Medicaid-Substance Abuse Macomb

Substance Use Disorder Rehabilitation Clinic/Center in Macomb, IL · enumerated 2015 · authorized official Bill Nelson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588032460

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Illinois Medicaid-Substance Abuse Macomb

Parent organization Bridgeway Inc

Practice address 900 S Deer Rd, Macomb, IL, 61455

Phone (309) 837-4876

Enumeration date Sep 9, 2015

Last updated in NPPES Aug 19, 2019

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License A-0118-0010-A (IL) Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

261QM2800X Methadone Clinic Ambulatory Health Care Facilities Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Bill Nelson

Title Ceo

Phone (309) 344-4200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Illinois Medicaid-Substance Abuse Macomb?

Illinois Medicaid-Substance Abuse Macomb is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-19.