PRIMECARE COMMUNITY HEALTH INC. NPI 1992851067

NPI Information

PRIMECARE COMMUNITY HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Chicago, IL. PRIMECARE COMMUNITY HEALTH, INC. NPI is 1992851067. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primecare Fullerton.

The provider's business location address is:

3924 W FULLERTON AVE
CHICAGO, IL
ZIP 60647-228
Phone: (773) 276-2229
Fax: (773) 276-2190

The provider's authorized official is Joseph Moldovan .
The authorized official title is Chief Financial Officer and has the following contact phone number (312) 491-5034.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 10/26/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.