TCA HEALTH INC NFP NPI 1184757353

NPI Information

NPI: 1184757353
Provider Name: TCA HEALTH INC NFP

Former Legal Business Name: THE CLINIC IN ALTGELD

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1029 E 130TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 995-6300
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TCA HEALTH INC NFP is a federally qualified health center (fqhc) clinic center in Chicago, IL. TCA HEALTH INC NFP NPI is 1184757353. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Clinic In Altgeld.

The provider's business location address is:

1029 E 130TH ST
CHICAGO, IL
ZIP 60628-908
Phone: (773) 995-6300
Fax: (773) 995-7985

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

The enumeration date for this NPI number is 3/14/2007 and was last updated on 10/16/2019.

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

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