FRIEND FAMILY HEALTH CENTER INC NPI 1891921623

NPI Information

NPI: 1891921623
Provider Name: FRIEND FAMILY HEALTH CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4802 S ASHLAND AVE
CHICAGO, IL
ZIP 60609
Phone: (773) 376-9400
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FRIEND FAMILY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Chicago, IL. FRIEND FAMILY HEALTH CENTER INC NPI is 1891921623. The provider is registered as an organization entity type.

The provider's business location address is:

4802 S ASHLAND AVE
CHICAGO, IL
ZIP 60609-233
Phone: (773) 376-9400

The provider's authorized official is Angel Mcreynolds .
The authorized official title is Billing/provider Services Mgr and has the following contact phone number (773) 705-2260.

The enumeration date for this NPI number is 6/8/2009 and was last updated on 8/6/2013.

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	141163	OTHER	ILLINOIS	MEDICARE PTAN
2	=========005	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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