OrganizationActive
Coordinated Youth and Human Services
NPI 1639581937 · Community Health Clinic/Center · Granite City, IL
Provider details
- NPI number
- 1639581937
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bobbie Smith, Executive Director(618) 876-2383
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2016 Madison Ave
Granite City, IL 62040-4657
Phone: (618) 876-2383
Fax: (618) 876-4952
Street-level locationGet directions
Mailing address
2016 Madison Ave
Granite City, IL 62040-4657
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.