PRIMECARE COMMUNITY HEALTH INC NPI 1871117937

NPI Information

NPI: 1871117937
Provider Name: PRIMECARE COMMUNITY HEALTH INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 14D0872237

Address:
1431 N WESTERN AVE STE 101
CHICAGO, IL
ZIP 60622
Phone: (773) 276-2272
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PRIMECARE COMMUNITY HEALTH INC is a federally qualified health center (fqhc) clinic center in Chicago, IL. PRIMECARE COMMUNITY HEALTH INC NPI is 1871117937. The provider is registered as an organization entity type.

The provider's business location address is:

1431 N WESTERN AVE STE 101
CHICAGO, IL
ZIP 60622-712
Phone: (773) 276-2272

The provider's authorized official is Robert Vangilder .
The authorized official title is Cfo and has the following contact phone number (314) 800-6161.

The CLIA number assigned to this NPI record is 14D0872237 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2020 and was last updated on 6/4/2020.

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

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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