ERIE FAMILY HEALTH CENTER INC NPI 1952598468

NPI Information

NPI: 1952598468
Provider Name: ERIE FAMILY HEALTH CENTER, INC

Doing Business As: ERIE HELPING HANDS HEALTH CTR

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4759 N KEDZIE AVE
CHICAGO, IL
ZIP 60625
Phone: (312) 666-3494
Get Directions

ERIE FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Chicago, IL. ERIE FAMILY HEALTH CENTER, INC NPI is 1952598468. The provider is registered as an organization entity type.
The provider Is Doing Business As Erie Helping Hands Health Ctr.

The provider's business location address is:

4759 N KEDZIE AVE
CHICAGO, IL
ZIP 60625-420
Phone: (312) 666-3494

The provider's authorized official is Gabriela Norena .
The authorized official title is Billing Department Supervisor and has the following contact phone number (312) 432-7444.

The CLIA number assigned to this NPI record is 14D1007140 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/28/2007 and was last updated on 6/2/2008.

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)		ILLINOIS	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	141009	MEDICARE PIN	ILLINOIS
2	=========017	MEDICAID	ILLINOIS
3	748480	OTHER	ILLINOIS	MEDICARE PART B
4	1616827	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD PROVIDER NUMBER

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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