OrganizationActive
Heritage Behavioral Health Center Inc.
NPI 1104609544 · Primary Care Clinic/Center · Decatur, IL
Provider details
- NPI number
- 1104609544
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Garrison, Ceo(217) 362-6262
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
243 W Cerro Gordo St
Decatur, IL 62522-2101
Phone: (217) 422-3940
Street-level locationGet directions
Mailing address
151 N Main St
Decatur, IL 62523-1206
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.