Erie Family Health Center, Inc in Chicago - Federally Qualified Health Center (fqhc)
Erie Family Health Center, Inc - NPI 1407043912
Erie Family Health Center, Inc is a Federally Qualified Health Center (fqhc) in Chicago, Illinois. Erie Family Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Erie Family Health Center, Inc is 1407043912. The last update date is 2008-06-02.
Erie Family Health Center, Inc's current location address is 1701 W Superior St, Chicago, Illinois. You can contact this provider via phone number 3126663494. The mailing address for Erie Family Health Center, Inc is 1701 W Superior St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Erie Family Health Center, Inc |
|---|---|
| Address | 1701 W Superior St, Chicago, Illinois |
| Phone Number | 3126663494 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING DE |
|---|---|
| Authorized Official Name | Norena Gabriela |
| Telephone Number | 3124327444 |
NPI Number Detail
| NPI Number | 1407043912 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 1701 W Superior St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606225646 |
| Phone Number | 3126663494 |
| Fax Number |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 748480 | IL | MEDICARE PART B | |
| 1616827 | IL | BLUE CROSS BLUE SHIELD PROVIDE |
Post Comment/ Review Below
What is the unique identifier code issued to Erie Family Health Center, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Erie Family Health Center, Inc has been assigned the NPI (National Provider Identifier) 1407043912. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Erie Family Health Center, Inc?
The Erie Family Health Center, Inc is physically situated at 1701 W Superior St, in the city of Chicago, state of IL, with the postal code 606225646.
What is Erie Family Health Center, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Erie Family Health Center, Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did Erie Family Health Center, Inc receive its 1407043912 assignment from the Centers for Medicare & Medicaid Services?
The Erie Family Health Center, Inc was assigned its 1407043912 on 2007-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Erie Family Health Center, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Erie Family Health Center, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-02.
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