FOLA COMMUNITY ACTION SERVICES INC. NPI 1871626713

NPI Information

NPI: 1871626713
Provider Name: FOLA COMMUNITY ACTION SERVICES INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 14D2060852

Address:
8014 S ASHLAND AVE
CHICAGO, IL
ZIP 60620
Phone: (773) 487-4310
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FOLA COMMUNITY ACTION SERVICES INC. is a methadone clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. FOLA COMMUNITY ACTION SERVICES INC. NPI is 1871626713. The provider is registered as an organization entity type.

The provider's business location address is:

8014 S ASHLAND AVE
CHICAGO, IL
ZIP 60620-317
Phone: (773) 487-4310
Fax: (773) 487-4320

The provider's authorized official is Olufolake Oladeinde .
The authorized official title is President/ceo and has the following contact phone number (773) 487-4310.

The CLIA number assigned to this NPI record is 14D2060852 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/23/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM2800X	Clinic/Center	Methadone			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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