LAWNDALE CHRISTIAN HEALTH CENTER NPI 1245289214

NPI Information

NPI: 1245289214
Provider Name: LAWNDALE CHRISTIAN HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 14D2062212

Address:
3860 W OGDEN AVE
CHICAGO, IL
ZIP 60623
Phone: (773) 843-2705
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LAWNDALE CHRISTIAN HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. LAWNDALE CHRISTIAN HEALTH CENTER NPI is 1245289214. The provider is registered as an organization entity type.

The provider's business location address is:

3860 W OGDEN AVE
CHICAGO, IL
ZIP 60623-460
Phone: (773) 843-2705
Fax: (773) 843-2704

The provider's authorized official is Karen Johnson .
The authorized official title is Asst Dir Of Patient Accounting and has the following contact phone number (872) 588-3062.

The CLIA number assigned to this NPI record is 14D2062212 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 6/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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