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PROVIDENT HOSPITAL OF COOK COUNTY NPI 1104842343


NPI Information

NPI: 1104842343
Provider Name: PROVIDENT HOSPITAL OF COOK COUNTY
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 14D0868710

Address:
500 E 51ST ST
CHICAGO, IL
ZIP 60615
Phone: (312) 572-2000
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PROVIDENT HOSPITAL OF COOK COUNTY is a medicare defined swing bed unit in Chicago, IL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PROVIDENT HOSPITAL OF COOK COUNTY NPI is 1104842343. The provider is registered as an organization entity type.

The provider's business location address is:

500 E 51ST ST
CHICAGO, IL
ZIP 60615-400
Phone: (312) 572-2000
Fax: (312) 572-2595

The provider's authorized official is Mary Abraham .
The authorized official title is Physician and has the following contact phone number (312) 572-2000.

The CLIA number assigned to this NPI record is 14D0868710 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed Unit03681558ILLINOISYes

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

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.