Christian Community Health Center in Chicago - Federally Qualified Health Center (fqhc)
Christian Community Health Center - NPI 1912170457
Christian Community Health Center is a Federally Qualified Health Center (fqhc) in Chicago, Illinois. Christian Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Christian Community Health Center is 1912170457. The last update date is 2023-09-19.
Christian Community Health Center's current location address is Po Box 288080, Chicago, Illinois. You can contact this provider via phone number 7732334100 and fax number 7732334055. The mailing address for Christian Community Health Center is Po Box 288080, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Christian Community Health Center |
|---|---|
| Address | Po Box 288080, Chicago, Illinois |
| Phone Number | 7732334100 |
| Fax Number | 7732334055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Burnett A. Kenneth |
| Credentials | M.S. |
| Telephone Number | 7732334100 |
NPI Number Detail
| NPI Number | 1912170457 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | Po Box 288080 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606288080 |
| Phone Number | 7732334100 |
| Fax Number | 7732334055 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Christian Community Health Center's unique identification number?
The Christian Community Health Center has been assigned the NPI (National Provider Identifier) Number 1912170457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Christian Community Health Center's physical address?
The Christian Community Health Center is physically located at Po Box 288080, in the city of Chicago, IL, with the postal code 606288080.
What is Christian Community Health Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christian Community Health Center's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Christian Community Health Center receive its 1912170457 assignment from the Centers for Medicare & Medicaid Services?
The Christian Community Health Center was assigned its 1912170457 by the Centers for Medicare & Medicaid Services on 2008-04-04.
As of what date was the information regarding Christian Community Health Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christian Community Health Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-19.
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