Provider Type Icon

PRIMECARE COMMUNITY HEALTH INC. NPI 1437440229


NPI Information

NPI: 1437440229
Provider Name: PRIMECARE COMMUNITY HEALTH, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5647 W ADDISON ST
CHICAGO, IL
ZIP 60634
Phone: (773) 736-1830
Get Directions

PRIMECARE COMMUNITY HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Chicago, IL. PRIMECARE COMMUNITY HEALTH, INC. NPI is 1437440229. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5647 W ADDISON ST
CHICAGO, IL
ZIP 60634-403
Phone: (773) 736-1830
Fax: (773) 736-1840

The provider's authorized official is Robin Mcginnis .
The authorized official title is Ceo and has the following contact phone number (312) 491-5085.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 3/4/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally 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

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.