CHRISTIAN COMMUNITY HEALTH CENTER NPI 1902064934

NPI Information

NPI: 1902064934
Provider Name: CHRISTIAN COMMUNITY HEALTH CENTER

Former Legal Business Name: ROSELAND CHRISTIAN HEALTH MINISTRIES

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
9718 S HALSTED ST
CHICAGO, IL
ZIP 60628
Phone: (773) 233-4100
Get Directions

CHRISTIAN COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. CHRISTIAN COMMUNITY HEALTH CENTER NPI is 1902064934. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Roseland Christian Health Ministries.

The provider's business location address is:

9718 S HALSTED ST
CHICAGO, IL
ZIP 60628-007
Phone: (773) 233-4100
Fax: (773) 233-4055

The provider's authorized official is Virgil Tolbert .
The authorized official title is Executive Director and has the following contact phone number (773) 233-4100.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 2/9/2022.

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »