CARVER MILITARY ACADEMY NPI 1053622043

NPI Information

NPI: 1053622043
Provider Name: CARVER MILITARY ACADEMY

Other Name: TCA HEALTH, INC NFP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
13100 S DOTY AVE
CHICAGO, IL
ZIP 60827
Phone: (773) 535-5357
Get Directions

CARVER MILITARY ACADEMY is a federally qualified health center (fqhc) clinic center in Chicago, IL. CARVER MILITARY ACADEMY NPI is 1053622043. The provider is registered as an organization entity type.
The provider Other Name Is Tca Health, Inc Nfp.

The provider's business location address is:

13100 S DOTY AVE
CHICAGO, IL
ZIP 60827-597
Phone: (773) 535-5357
Fax: (773) 995-7985

The provider's authorized official is Veronica Clarke .
The authorized official title is Ceo and has the following contact phone number (773) 995-6300.

The CLIA number assigned to this NPI record is 14D0956481 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2010 and was last updated on 11/20/2013.

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »