HOLY CROSS HOSPITAL NPI 1629472451

NPI Information

NPI: 1629472451
Provider Name: HOLY CROSS HOSPITAL
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D0426077

Address:
2701 W 68TH ST
CHICAGO, IL
ZIP 60629
Phone: (773) 257-6672
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HOLY CROSS HOSPITAL is a mental health (including community mental health center) clinic center in Chicago, IL. HOLY CROSS HOSPITAL NPI is 1629472451. The provider is registered as an organization entity type.

The provider's business location address is:

2701 W 68TH ST
CHICAGO, IL
ZIP 60629-813
Phone: (773) 257-6672
Fax: (773) 257-5330

The provider's authorized official is Karen C Teitelbaum .
The authorized official title is Executive Vice President/coo and has the following contact phone number (773) 257-5332.

The CLIA number assigned to this NPI record is 14D0426077 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 10/22/2014.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0001644	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1639470867	MEDICAID	ILLINOIS
2	1932496114	MEDICAID	ILLINOIS
3	1871581314	MEDICAID	ILLINOIS

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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