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TCA HEALTH INC NFP NPI 1578936696


NPI Information

NPI: 1578936696
Provider Name: TCA HEALTH INC NFP

Doing Business As: TCA HEALTH CHATHAM

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 14D2109224

Address:
8425 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60619
Phone: (773) 846-3000
Get Directions

TCA HEALTH INC NFP is a federally qualified health center (fqhc) clinic center in Chicago, IL. TCA HEALTH INC NFP NPI is 1578936696. The provider is registered as an organization entity type.
The provider Is Doing Business As Tca Health Chatham.

The provider's business location address is:

8425 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60619-113
Phone: (773) 846-3000

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 14D2109224 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2015 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/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.