HOWARD BROWN HEALTH CENTER NPI 1699109546

NPI Information

NPI: 1699109546
Provider Name: HOWARD BROWN HEALTH CENTER

Doing Business As: BROADWAY YOUTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4009 N BROADWAY ST
CHICAGO, IL
ZIP 60613
Phone: (773) 935-3151
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HOWARD BROWN HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. HOWARD BROWN HEALTH CENTER NPI is 1699109546. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Youth Center.

The provider's business location address is:

4009 N BROADWAY ST
CHICAGO, IL
ZIP 60613-110
Phone: (773) 935-3151

The provider's authorized official is David Munar .
The authorized official title is Ceo and has the following contact phone number (773) 388-1600.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 2/23/2017.

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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