COMMUNITYHEALTH NPI 1295947430

NPI Information

NPI: 1295947430
Provider Name: COMMUNITYHEALTH
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 14D0870038

Address:
2611 W CHICAGO AVE
CHICAGO, IL
ZIP 60622
Phone: (773) 395-9901
Get Directions

COMMUNITYHEALTH is a community health clinic center in Chicago, IL. COMMUNITYHEALTH NPI is 1295947430. The provider is registered as an organization entity type.

The provider's business location address is:

2611 W CHICAGO AVE
CHICAGO, IL
ZIP 60622-519
Phone: (773) 395-9901
Fax: (773) 395-9902

The provider's authorized official is Tony Bongiorno .
The authorized official title is Director Of Pharmacy Operations and has the following contact phone number (773) 395-9901.

The CLIA number assigned to this NPI record is 14D0870038 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/3/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	=========	ILLINOIS	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 »