Riverside Medical Center
Riverside Medical Center is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Kankakee, IL, holding Type 2 (organization) NPI 1780093708 since 2014. The authorized official on file is Bill Douglas, Vice President and Cfo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1780093708 |
|---|---|
| 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 | 8159357256 |
| Fax | 8159357490 |
| Enumeration date | 2014-08-04 |
| Last updated in NPPES | 2016-04-06 |
Authorized official
| Name | Bill Douglas |
|---|---|
| Title | Vice President and Cfo |
| Phone | 8159357256 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | Secondary | 0002014 | IL |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | 0002014 | IL |
Copy-ready billing details
Provider: Riverside Medical Center NPI: 1780093708 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 1905 W COURT ST, Kankakee, IL, 60901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417061193 | Riverside Health System | Organization | General Practice Physician | Kankakee, IL |
| 1346326139 | Kankakee Radiology Associates, S.C. | Organization | Radiology Clinic/Center | Kankakee, IL |
| 1427118439 | Oakside Corporation | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Kankakee, IL |
| 1770643850 | Herbert Stricklin | Individual | Mental Health Counselor | Kankakee, IL |
| 1316086275 | Delores Ward | Individual | Mental Health Counselor | Kankakee, IL |
| 1861536484 | Wendy Crays | Individual | Professional Counselor | Kankakee, IL |
| 1023149382 | Vicky Mansberger | Individual | Registered Dietitian | Kankakee, IL |
| 1669595542 | Julene Bowley-Vogen | Individual | Clinical Social Worker | Kankakee, IL |
Verify this record
Cross-check NPI 1780093708 against the authoritative CMS record: view Riverside Medical Center on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Riverside Medical Center?
Who is the authorized official for Riverside Medical Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-06.