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FRIEND FAMILY HEALTH CENTER INC NPI 1932724390


NPI Information

NPI: 1932724390
Provider Name: FRIEND FAMILY HEALTH CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 14D0718724

Address:
7355 S JEFFERY BLVD
CHICAGO, IL
ZIP 60649
Phone: (773) 702-0660
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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 1932724390. The provider is registered as an organization entity type.

The provider's business location address is:

7355 S JEFFERY BLVD
CHICAGO, IL
ZIP 60649-121
Phone: (773) 702-0660
Fax: (773) 834-3756

The provider's authorized official is Sabrina G Moore .
The authorized official title is Cfo and has the following contact phone number (773) 702-2193.

The CLIA number assigned to this NPI record is 14D0718724 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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

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.