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Riverside Medical Center

Mental Health Clinic/Center (Including Community Mental Health Center) in Kankakee, IL · enumerated 2014 · authorized official Bill Douglas, Vice President and Cfo.

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

National Provider Identifier

1780093708

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Registry record

Entity type Organization (Type 2)
Legal business name Riverside Medical Center
Parent organization Riverside Medical Center
Practice address 1905 W Court St, Kankakee, IL, 60901
Phone (815) 935-7256
Fax (815) 935-7490
Enumeration date Aug 4, 2014
Last updated in NPPES Apr 6, 2016

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 0002014 (IL) Primary
282N00000X General Acute Care Hospital Hospitals · License 0002014 (IL) Secondary

Authorized official

Name Bill Douglas
Title Vice President and Cfo
Phone (815) 935-7256

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.

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Frequently asked questions

What is the NPI number for Riverside Medical Center?
The NPI for Riverside Medical Center is 1780093708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Riverside Medical Center?
NPPES lists Bill Douglas (Vice President and Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-06.