Veteran'S Administration in Decatur - Federally Qualified Health Center (fqhc)
Veteran'S Administration - NPI 1043323793
Veteran'S Administration is a Federally Qualified Health Center (fqhc) in Decatur, Illinois. Veteran'S Administration practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Veteran'S Administration is 1043323793. The last update date is 2020-08-22.
Veteran'S Administration's current location address is 3035 E Mound Rd, Decatur, Illinois. You can contact this provider via phone number 2178752670 and fax number 2178752689. The mailing address for Veteran'S Administration is 3035 E Mound Rd, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Veteran'S Administration |
|---|---|
| Address | 3035 E Mound Rd, Decatur, Illinois |
| Phone Number | 2178752670 |
| Fax Number | 2178752689 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NURSE PRAC |
|---|---|
| Authorized Official Name | Wirth Thornhill Geraldine |
| Credentials | A.P.R.N. |
| Telephone Number | 2178752670 |
NPI Number Detail
| NPI Number | 1043323793 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3035 E Mound Rd |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625269650 |
| Phone Number | 2178752670 |
| Fax Number | 2178752689 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identification code issued to Veteran'S Administration by the Centers for Medicare & Medicaid Services?
The Veteran'S Administration has been assigned the NPI (National Provider Identifier) 1043323793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Veteran'S Administration is physically located?
The Veteran'S Administration is situated at the following address: 3035 E Mound Rd, Decatur, IL 625269650.
What is the area of specialization for Veteran'S Administration, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Veteran'S Administration is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043323793 to Veteran'S Administration?
The Centers for Medicare & Medicaid Services assigned the 1043323793 to Veteran'S Administration on 2006-08-16.
When was the Veteran'S Administration's information last updated?
The Veteran'S Administration's information was last updated on 2020-08-22.
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