ERIE FAMILY HEALTH CENTER INC NPI 1760499545

NPI Information

NPI: 1760499545
Provider Name: ERIE FAMILY HEALTH CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1701 W SUPERIOR ST
CHICAGO, IL
ZIP 60622
Phone: (312) 432-7394
Get Directions

ERIE FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Chicago, IL. ERIE FAMILY HEALTH CENTER, INC NPI is 1760499545. The provider is registered as an organization entity type.

The provider's business location address is:

1701 W SUPERIOR ST
CHICAGO, IL
ZIP 60622-646
Phone: (312) 432-7394

The provider's authorized official is Lee Francis .
The authorized official title is Pesident And Ceo and has the following contact phone number (312) 432-7394.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 11/2/2020.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	Other Provider Identifier Issuer
1	1616827	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD PROVIDER NUMBER
2	748480	OTHER	ILLINOIS	MEDICARE PART B
3	F100260003	OTHER	WISCONSIN	MEDICARE PART B PTAN

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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